Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-11-04-1

Project Information

Project IdentifiersProject ID: 993235
DEA: 051H4504
EFIS: 0516000075
DIST-CO-RTE-PM05-SB-154-R31.8/R32.1
Award Date11/22/2021
Closeout DateNot set
Work DescriptionCONSTRUCT CIDH CONCRETE PILES AND STRUCTURAL CONCRETE BRIDGE.
Location DescriptionSANTA BARBARA COUNTY IN AND NEAR SANTA BARBARA FROM PRIMAVERA ROAD UNDERCROSSING TO LA COLINA ROAD UNDERCROSSING
QA Service Level1 (Verified on 10/06/2021)

Sample Information

Sample Taken Date11/04/2022 Sample Unique Key1
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 testing11/04/2022
Sample typeQuality Assurance A brief description of the sampleWelded Hoops
The quantity of what the sample constitutes78 From where was the sample collectedFabricator
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 nameMartinez Steel Fontana Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL140-201-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)378222
Hoop Manufacturer Lot Number(s)14 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop4'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascada
Welding CompanyMartinez Steel Fontana 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