Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-09-11-3

Project Information

Project IdentifiersProject ID: 994191
DEA: 081G8304
EFIS: 0816000079
DIST-CO-RTE-PM08-SBD-40-R100.8/R101.8
Award Date12/01/2022
Closeout DateNot set
Work DescriptionHMA, STRUCTURAL CONC, BAR REINFORCING STEEL, CRSP & IMPORTED BORROW.
Location DescriptionSAN BERNARDINO COUNTY AT ESSEX FROM 1.1 MILES EAST OF ESSEX ROAD OVERCROSSING TO 0.5 MILE EAST OF HALFWAY HILLS WASH BRIDGE
QA Service Level1 (Verified on 03/30/2023)

Sample Information

Sample Taken Date09/11/2023 Sample Unique Key3
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 Assurance A brief description of the sample#8 x 2'-6"
The quantity of what the sample constitutes150 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 nameRKR Steel Welding 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)6040990
Hoop Manufacturer Lot Number(s)7-16 Material Standard CodeASTM A706
Material Grade60 Rebar Size#8
Diameter of Hoop2'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC
Welding CompanyRKR Steel Welding 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