Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-12-07-5

Project Information

Project IdentifiersProject ID: 215744
DEA: 033H93U4
EFIS: 0321000091
DIST-CO-RTE-PM03-YUB,BUT-70-25.5/25.8,0.0/3.8
Award Date07/15/2021
Closeout DateNot set
Work DescriptionWIDEN ROADWAY & SHOULDER, ADD TURN LANES & CONSTRUCT BRIDGE.
Location DescriptionYUBA AND BUTTE COUNTIES ABOUT 11 MILES NORTH OF MARYSVILLE FROM 0.8 MILE NORTH OF CHANDLER ROAD TO 0.2 MILE SOUTH OF EAST GRIDLEY ROAD
QA Service Level1 (Verified on 05/20/2021)

Sample Information

Sample Taken Date12/07/2021 Sample Unique Key5
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing12/13/2021
Sample typeQuality Control A brief description of the sample#8 x 7’-8” Diameter
The quantity of what the sample constitutes32 of 1130 From where was the sample collectedManufacturer
First name of sampler or witnessed byHitesh Last name of sampler or witnessed byPatel
Title of samplerQuality Assurance Inspector Telephone number of sampler9168691602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTNT Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL131-054-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)3500021722
Hoop Manufacturer Lot Number(s)Lot 14 thru Lot 21 Material Standard CodeASTM A706
Material Grade60 Rebar Size#8
Diameter of Hoop7'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyTNT Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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