Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2016-09-26-2

Project Information

Project IdentifiersProject ID: 210886
DEA: 050F7004
EFIS: 0500000049
DIST-CO-RTE-PM05-MON-68-R17.4/R18.0
Award Date01/22/2016
Closeout Date12/30/2019
Work DescriptionWIDENING BRIDGE
Location DescriptionIN MONTEREY COUNTY ON ROUTE 68 NEARSALINAS FROM 0.2 MILE EAST OFRESERVATION ROAD UNDERCROSSING TO SPRECKELS BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 02/01/2016)

Sample Information

Sample Taken Date09/26/2016 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 testing09/26/2016
Sample typeQuality Control A brief description of the sampleUltimate Butt Splice
The quantity of what the sample constitutes150 From where was the sample collectedFabricator
First name of sampler or witnessed byJames Last name of sampler or witnessed byDoe
Title of samplerQA Inspector Telephone number of sampler501-918-4918
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHarris Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB35809716 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)SE15104148
Hoop Manufacturer Lot Number(s)H53 Material Standard CodeASTM A706
Material Grade60 Rebar Size8
Diameter of Hoop3'-4.5" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyHarris Rebar 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