Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-07-03-5

Project Information

Project IdentifiersProject ID: 212720
DEA: 07291404
EFIS: 0712000094
DIST-CO-RTE-PM07-LA-1-55-58
Award Date02/18/2021
Closeout DateNot set
Work DescriptionTRANCAS CREEK BRIDGE REPLACEMENT
Location DescriptionIN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027).
QA Service Level1 (Verified on 04/02/2021)

Sample Information

Sample Taken Date07/03/2023 Sample Unique Key5
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 1'-6" welded hoops
The quantity of what the sample constitutes1161 pcs From where was the sample collectedFabricator
First name of sampler or witnessed byJoaquin Last name of sampler or witnessed byMoreno
Title of sampler Telephone number of sampler7146990897
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar San Bernadino Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4129486
Hoop Manufacturer Lot Number(s)30 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop1'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel Arizona
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