Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-12-05-12

Project Information

Project IdentifiersProject ID: 994654
DEA: 07313504
EFIS: 0715000090
DIST-CO-RTE-PM07-LA,VEN-1-37.7/62.9,0.0/0.9
Award Date07/20/2023
Closeout DateNot set
Work DescriptionREMOVE AND CONSTRUCT BRIDGE AND CULVERTS.
Location DescriptionLOS ANGELES AND VENTURA COUNTIES AT VARIOUS LOCATIONS FROM 0.4 MILE SOUTH OF TEMESCAL CANYON ROAD TO 0.1 MILE NORTH OF TONGA STREET
QA Service Level1 (Verified on 07/24/2023)

Sample Information

Sample Taken Date12/05/2023 Sample Unique Key12
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing12/05/2023
Sample typeQuality Control A brief description of the sample#6 x 3'-6" Ultimate Welded Hoops Lots 22 thru 31
The quantity of what the sample constitutes10 Lots (1500 Hoops) From where was the sample collectedFabricator
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGarcia
Title of samplerQuality Assurance Inspector Telephone number of sampler3109128014
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) FormL169-058-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)324621
Hoop Manufacturer Lot Number(s)Lots 22 thru 31 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop3'-6" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCascade Steel Oregon
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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