Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2016-12-21-2
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Project Information
| Project Identifiers | Project ID: 211864 DEA: 042L8104 EFIS: 0412000177 MINOR: 04A4925 |
|---|---|
| DIST-CO-RTE-PM | 04-SF-1,280-3.85, 2.58 |
| Award Date | Not set |
| Closeout Date | 07/05/2023 |
| Work Description | Cold plane and resurface ramp and install vehicle speed feedback sign. |
| Location Description | ON ROUTE 1 BETWEEN JUDAH STREET AND IRVING STREET AND ON ROUTE 280 AT SAN JOSE AVENUE OFF-RAMP |
| QA Service Level | 1 (Verified on 11/01/2016) |
Sample Information
| Sample Taken Date | 12/21/2016 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Control | A brief description of the sample | Resistance Butt Welded Hoops |
| The quantity of what the sample constitutes | 24 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | James | Last name of sampler or witnessed by | Doe |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | (510) 918-4918 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mission City Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B358-130-16 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | PL16101722 |
| Hoop Manufacturer Lot Number(s) | 1 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 4 |
| Diameter of Hoop | 2'-2" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Nucor |
| Welding Company | Mission City Rebar | 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||