Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-07-03-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
| Award Date | 06/06/2018 |
| Closeout Date | Not set |
| Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
| Location Description | LA/SBD County Line to PM 13.2 near I-15 |
| QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
| Sample Taken Date | 07/03/2023 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 testing | 07/07/2023 |
| Sample type | Quality Assurance | A brief description of the sample | #4 1'-6" welded hoops |
| The quantity of what the sample constitutes | 29 pcs | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Joaquin | Last name of sampler or witnessed by | Moreno |
| Title of sampler | Telephone number of sampler | 7146990897 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar San Bernadino | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | 4130116 |
| Hoop Manufacturer Lot Number(s) | 30 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #4 |
| Diameter of Hoop | 1'-6" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC Steel Arizona |
| Welding Company | CMC Steel San Bernardino | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-07-03-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-07-03-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-07-03-1-4 CTM 670-December 2013 (Verified)