Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-06-26-4

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date06/26/2023 Sample Unique Key4
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing06/26/2023
Sample typeQuality Control A brief description of the sampleASTM A706 gr 60 #4 Rebar 1'-6" diam. welded hoop
The quantity of what the sample constitutes1218 welded hoops From where was the sample collectedFabricator
First name of sampler or witnessed byHenry Last name of sampler or witnessed byArredondo
Title of samplerCALTRANS METS QA INSPECTOR Telephone number of sampler5623329603
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar San Bernardino Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL166-059-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4129294
Hoop Manufacturer Lot Number(s)21 22 23 24 25 26 27 28 29 Material Standard CodeASTM A706
Material Grade60 Rebar Size#4
Diameter of Hoop1'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Arizona
Welding CompanyNA 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