Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-06-03-5

Project Information

Project IdentifiersProject ID: 215304
DEA: 010E0814
EFIS: 0118000172
DIST-CO-RTE-PM01-LAK-20,29,175-Var
Award Date09/20/2021
Closeout DateNot set
Work DescriptionReplace & widen bridges
Location DescriptionLAKE COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 11/04/2020)

Sample Information

Sample Taken Date06/03/2022 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 testingNot set
Sample typeQuality Control A brief description of the sample(20 EA) #3 1'-6" Ø Lot 1 to 5
The quantity of what the sample constitutes(724 EA) #3 1'-6" Ø Lot 1 to Lot 5 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 nameTNT Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL133-037-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)3500023381
Hoop Manufacturer Lot Number(s)Lot 1 to 5 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop1'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyTNT Rebar 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