Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-02-23-3

Project Information

Project IdentifiersProject ID: 215784
DEA: 051G2604
EFIS: 0514000131
DIST-CO-RTE-PM05-SCR-17-9.1/9.9
Award Date08/11/2021
Closeout Date02/14/2024
Work DescriptionCONSTRUCT STRUCTURAL CONCRETE BRIDGE AND ELECTRIFIED BARRIER SYSTEMS.
Location DescriptionSANTA CRUZ COUNTY NEAR SCOTTS VALLEY FROM 0.6 MILE SOUTH OF LAUREL ROAD TO 0.2 MILE NORTH OF LAUREL ROAD
QA Service Level1 (Verified on 06/21/2021)

Sample Information

Sample Taken Date02/23/2022 Sample Unique Key3
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 testing02/23/2022
Sample typeQuality Control A brief description of the sample#5 X 1'-6" Ultimate Welded Hoops
The quantity of what the sample constitutes92 total From where was the sample collectedManufacturer
First name of sampler or witnessed byJuan Last name of sampler or witnessed byGarcia
Title of samplerQA Telephone number of sampler17029172503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameT.N.T Rebar Company Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-017-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)3500022537
Hoop Manufacturer Lot Number(s)Lots - 1 thru 23 Material Standard CodeASTM A706
Material Grade60 Rebar Size#5
Diameter of Hoop1'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor Seattle
Welding CompanyTNT Rebar Company Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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