Sample Record

Owner Labs

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

DIME Sample ID 2024-04-02-3

Project Information

Project IdentifiersProject ID: 994875
DEA: 101F1804
EFIS: 1016000077
DIST-CO-RTE-PM10-SJ-4-R16.0/R19.4
Award Date09/20/2023
Closeout DateNot set
Work DescriptionBRIDGE WORK, CONCRETE BARRIER, AND INSTALL RAMP METER SYSTEM.
Location DescriptionSAN JOAQUIN COUNTY IN STOCKTON AT VARIOUS LOCATIONS FROM 0.3 MILE EAST OF ROUTE 4/5 SEPARATION TO 0.4 MILE WEST OF ROUTE 4/99 SEPARATION
QA Service Level1 (Verified on 06/14/2023)

Sample Information

Sample Taken Date04/02/2024 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 testing04/03/2024
Sample typeQuality Control A brief description of the sample#8 x 4'-3"
The quantity of what the sample constitutes20 Samples from lots 1-5 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 sampler916-767-3535
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar San Bernadino Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL123-021-24 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)9001785, 4135333
Hoop Manufacturer Lot Number(s)Lots 1-5 Material Standard CodeASTM A706
Material Grade60 Rebar Size#8
Diameter of Hoop4'-3" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel 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