Sample Record

Owner Labs

  • Sequoia Consultants
  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-07-10-1

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 Date07/10/2023 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 testing07/14/2023
Sample typeQuality Control A brief description of the sample#6 1'-6" welded hoops
The quantity of what the sample constitutes4 Hoops from a lot of 150 pcs From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed byRamirez
Title of samplerQuality Assurance Inspector Telephone number of sampler(916) 767-3535
Laboratory sample identification Linked DIME Sample ID2023-07-03-5
The fabricator/manufacturer/facility nameCMC Rebar San Bernadino Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL123-016-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingRetest
Service or UltimateUltimate Rebar Heat Number(s)4129486
Hoop Manufacturer Lot Number(s)Lot 3 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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