Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-12-04-2
Project Information
Project Identifiers | Project ID: 994443 DEA: 053307C4 EFIS: 0514000028 |
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DIST-CO-RTE-PM | 05-SLO-41,46-44.5/45.3,54.0/57.8 |
Award Date | 02/27/2023 |
Closeout Date | Not set |
Work Description | Wye Segment - Route 41/46 Separation |
Location Description | Not set |
QA Service Level | 1 (Verified on 12/16/2022) |
Sample Information
Sample Taken Date | 12/04/2023 | Sample Unique Key | 2 |
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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 | 12/08/2023 |
Sample type | Quality Control | A brief description of the sample | #8 4'-8" Dia. Welded Hoops |
The quantity of what the sample constitutes | 294 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Sanchez |
Title of sampler | Telephone number of sampler | 2137133499 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-271-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
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Service or Ultimate | Ultimate | Rebar Heat Number(s) | 4133021 |
Hoop Manufacturer Lot Number(s) | 1,2 | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Size | #8 |
Diameter of Hoop | 4'-8" | Epoxy Coated | No |
Epoxy Coating Color | NA | Rebar Manufacturer | CMC Rebar |
Welding Company | CMC Rebar San Bernardino | Coating Standards | Uncoated |
Weld Type | Flash Welded |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |