Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-07-18-5

Project Information

Project IdentifiersProject ID: 214830
DEA: 043G6304
EFIS: 0412000409
DIST-CO-RTE-PM04-SCL-4-SCl-9 -4.75/4.9
Award Date11/08/2022
Closeout DateNot set
Work DescriptionSaratoga Creek Bridge Rehabilitation Project
Location DescriptionSan Jose - Saratoga Creek
QA Service Level1 (Verified on 11/09/2020)

Sample Information

Sample Taken Date07/18/2023 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 sampleUltimate Welded Hoops
The quantity of what the sample constitutes308 From where was the sample collectedFabricator
First name of sampler or witnessed byBrian Last name of sampler or witnessed byMurray
Title of samplerQA Inspector Telephone number of sampler5624420352
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) FormL140-086-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4129681
Hoop Manufacturer Lot Number(s)Lot 1 2 and 3 Material Standard CodeASTM A706
Material Grade60 Rebar Size#7
Diameter of Hoop2'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Arizona
Welding CompanyCMC Rebar 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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Sample File Attachments

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Test File Attachments