Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2024-04-15-2

Project Information

Project IdentifiersProject ID: 994346
DEA: 033F23U4
EFIS: 0322000243
DIST-CO-RTE-PM03-PLA-80-0.1/2.2,4.9/6.0
Award Date05/25/2023
Closeout DateNot set
Work DescriptionROADWAY EXCAVATION, PLACE CL2-AB, HMA, STRUCTURAL CONCRETE & RCP.
Location DescriptionPLACER COUNTY IN ROSEVILLE FROM 0.1 MILE WEST OF RIVERSIDE AVENUE OVERCROSSING TO 0.3 MILE EAST OF DOUGLAS BOULEVARD OVERCROSSING AND IN ROCKLIN FROM 1.1 MILE WEST OF ROCKLIN ROAD UNDERCROSSING TO ROCKLIN ROAD UNDERCROSSING
QA Service Level1 (Verified on 11/09/2022)

Sample Information

Sample Taken Date04/15/2024 Sample Unique Key2
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 sample#6 X 2'-8" Ultimate Welded Hoops Lot 1
The quantity of what the sample constitutes12 of 408 From where was the sample collectedFabricator
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQuality Assurance Inspector Telephone number of sampler17029172503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-041-24 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4138071
Hoop Manufacturer Lot Number(s)Lot 1 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop2'-8" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Steel Mesa AZ
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