Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Laboratory

DIME Sample ID 2021-12-01-3

Project Information

Project IdentifiersProject ID: 993237
DEA: 051K0604
EFIS: 0518000115
DIST-CO-RTE-PM05-SCR-9-10.8
Award Date11/05/2021
Closeout DateNot set
Work DescriptionEXTEND SIDE HILL VIADUCT.
Location DescriptionSANTA CRUZ COUNTY NEAR BROOKDALE AT SIDEHILL VIADUCT BRIDGE
QA Service Level1 (Verified on 10/06/2021)

Sample Information

Sample Taken Date12/01/2021 Sample Unique Key3
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Control A brief description of the sample#6 hoop 2'-0" dia.
The quantity of what the sample constitutes8 hoops from lot 1 and 2 From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez
Title of samplerQuality Assurance Inspector Telephone number of sampler5599740870
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRKR Steel Welding Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL123-149-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)091221
Hoop Manufacturer Lot Number(s)Lots 1 and 2 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-0" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade Steel
Welding CompanyRKR Steel Welding Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments