Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-04-22-5

Project Information

Project IdentifiersProject ID: 215677
DEA: 044G0804
EFIS: 0412000332
COOP: 042676
DIST-CO-RTE-PM04-SOL-80-R10.4/30.2
Award Date01/18/2022
Closeout DateNot set
Work DescriptionHighway widening, overhead signs, and electronic toll system.
Location DescriptionIn Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing.
QA Service Level1 (Verified on 04/11/2022)

Sample Information

Sample Taken Date04/22/2022 Sample Unique Key5
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 testing04/29/2022
Sample typeQuality Control A brief description of the sample(1214 EA) #7 2'-6" Ø Ultimate Welded Hoops Lot 1 to 9
The quantity of what the sample constitutes(36 EA) #7 2'-6" Ø Ultimate Welded Hoops Lot 1 to 9 From where was the sample collectedFabricator
First name of sampler or witnessed byRigoberto Last name of sampler or witnessed byMarin
Title of sampler Telephone number of sampler9515000685
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar - San Bernardino Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL133-026-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)6030398
Hoop Manufacturer Lot Number(s)Lot 1 to 9 Material Standard CodeASTM A706
Material Grade60 Rebar Size#7
Diameter of Hoop2'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel
Welding CompanyCMC Steel - San Bernardino Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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