Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-03-02-3
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Project Information
| Project Identifiers | Project ID: 993184 DEA: 040A7724 EFIS: 0420000288 COOP: 042763 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-80-6.4/6.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Excavation, HMA, structural concrete, minor concrete and drainage. |
| Location Description | IN BERKELEY AND ALBANY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.3 MILE SOUTH OF EL CERRITO SEPARATION AND OVERHEAD |
| QA Service Level | 1 (Verified on 04/08/2022) |
Sample Information
| Sample Taken Date | 03/02/2022 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 testing | 03/24/2022 |
| Sample type | Quality Assurance | A brief description of the sample | #6's 2'-6" Ultimate welded hoops |
| The quantity of what the sample constitutes | 4 hoops from lot 1 & 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Sanchez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | TNT Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-009-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | 3500022833 |
| Hoop Manufacturer Lot Number(s) | Lot 1,2 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #6 |
| Diameter of Hoop | 2'-6" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Nucor |
| Welding Company | California Department of Transportation | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-03-02-3-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-03-02-3-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-03-02-3-3 CTM 670-December 2013 (Verified)