Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-02-08-1

Project Information

Project IdentifiersProject ID: 994248
DEA: 051K1204
EFIS: 0518000125
DIST-CO-RTE-PM05-SCR-9-1.0,4.0
Award Date12/07/2022
Closeout DateNot set
Work DescriptionCONSTRUCT SIDEHILL VIADUCTS.
Location DescriptionSANTA CRUZ COUNTY AT 0.5 MILE NORTH OF VERNON STREET AND AT 0.8 MILE SOUTH OF GLENGARRY ROAD
QA Service Level1 (Verified on 09/19/2022)

Sample Information

Sample Taken Date02/08/2023 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 testingNot set
Sample typeQuality Control A brief description of the sample#6 ASTM A706 Grade 60 Hoops
The quantity of what the sample constitutes1139 Hoops From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of samplerQA Specialist Telephone number of sampler7073428602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC San Bernardino Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL110-010-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4122996
Hoop Manufacturer Lot Number(s)Lot No 1 thru Lot No 8 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel AZ
Welding CompanyCMC Steel - San Bernardino 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