Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-07-18-2

Project Information

Project IdentifiersProject ID: 214989
DEA: 050L7224
EFIS: 0515000098
DIST-CO-RTE-PM05-SLO-1-34.5
Award Date10/13/2021
Closeout DateNot set
Work DescriptionREPLACE BRIDGE.
Location DescriptionSAN LUIS OBISPO COUNTY NEAR MORRO BAY AT OLD CREEK BRIDGE
QA Service Level1 (Verified on 09/03/2020)

Sample Information

Sample Taken Date07/18/2022 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 sampleWelded Hoop
The quantity of what the sample constitutes985 From where was the sample collectedManufacturer
First name of sampler or witnessed byBrian Last name of sampler or witnessed byMurray
Title of samplerQA Inspector Telephone number of sampler213 435 4055
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRKR Steel Welding Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL140-116-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)171022
Hoop Manufacturer Lot Number(s)8 to 14 Material Standard CodeASTM A706
Material Grade60 Rebar Size#5
Diameter of Hoop2'-0" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade
Welding CompanyRKR Steel Welding Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

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

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Test File Attachments