Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-05-17-2

Project Information

Project IdentifiersProject ID: 214988
DEA: 050L7214
EFIS: 0515000097
DIST-CO-RTE-PM05-SLO-1-32.6
Award Date03/08/2021
Closeout DateNot set
Work DescriptionREMOVE & CONSTRUCT CONCRETE BRIDGE, CONCRETE SLAB, BRIDGE RAIL & HMA.
Location DescriptionSAN LUIS OBISPO COUNTY IN MORRO BAY AT TORO CREEK BRIDGE
QA Service Level1 (Verified on 09/03/2020)

Sample Information

Sample Taken Date05/17/2022 Sample Unique Key2
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 testingNot set
Sample typeQuality Control A brief description of the sample# 6 x 3'-4" Dia.
The quantity of what the sample constitutes150 hoops From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez
Title of samplerQuality Assurance Inspector Telephone number of sampler5599740870
Laboratory sample identification Linked DIME Sample ID2022-4-29-4
The fabricator/manufacturer/facility nameTNT Rebar Company Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL123-053-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4116767
Hoop Manufacturer Lot Number(s)Lot 7 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop3'-4" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel AZ
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