Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-05-16-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215188 DEA: 080F5434 EFIS: 0817000239 Permit Numbers: 0823NMC0369 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-I-15,SR-91-6.1-7.6 |
| Award Date | 03/11/2020 |
| Closeout Date | Not set |
| Work Description | I-15 ELC: 15/91 Express Lanes Connector Project (ELC) |
| Location Description | Junction of I-15 and SR-91 in Corona, CA |
| QA Service Level | 1 (Verified on 09/16/2020) |
Sample Information
| Sample Taken Date | 05/16/2022 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 testing | 05/19/2022 |
| Sample type | Quality Assurance | A brief description of the sample | #8 5'- 8" welded hoop |
| The quantity of what the sample constitutes | 18 | 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 | Associate Steel Inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 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) | 4117191 |
| Hoop Manufacturer Lot Number(s) | 1 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #8 |
| Diameter of Hoop | 5'-8" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Arizona |
| 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: 2022-05-16-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-05-16-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-05-16-1-3 CTM 670-December 2013 (Verified)