Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2016-12-29-1

Project Information

Project IdentifiersProject ID: 211235
DEA: 054482U4
EFIS: 0500000543
DIST-CO-RTE-PM05-SB-101-2.2/3.3
Award Date06/20/2016
Closeout DateNot set
Work DescriptionBUILD AND RECONSTRUCT BRIDGES, CONSTRUCT RAMPS AND FRONTAGE ROAD.
Location DescriptionSANTA BARBARA COUNTY IN CARPINTERIA FROM 0.2 MILE SOUTH OF CARPINTERIA CREEK BRIDGE TO FRANKLIN CREEK BRIDGE
QA Service Level1 (Verified on 07/27/2016)

Sample Information

Sample Taken Date12/29/2016 Sample Unique Key1
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 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 samplerCALTRANS METS QA INSPECTOR Telephone number of sampler510-918-4918
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) FormB358-137-16 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)SE15101993
Hoop Manufacturer Lot Number(s)H02 Material Standard CodeASTM A706
Material Grade60 Rebar Size8
Diameter of Hoop5'-10" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerNucor
Welding CompanyHarris Rebar Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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