Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2016-12-29-2
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Project Information
| Project Identifiers | Project ID: 211235 DEA: 054482U4 EFIS: 0500000543 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-2.2/3.3 |
| Award Date | 06/20/2016 |
| Closeout Date | 08/23/2021 |
| Work Description | BUILD AND RECONSTRUCT BRIDGES, CONSTRUCT RAMPS AND FRONTAGE ROAD. |
| Location Description | SANTA BARBARA COUNTY IN CARPINTERIA FROM 0.2 MILE SOUTH OF CARPINTERIA CREEK BRIDGE TO FRANKLIN CREEK BRIDGE |
| QA Service Level | 1 (Verified on 07/27/2016) |
Sample Information
| Sample Taken Date | 12/29/2016 | Sample Unique Key | 2 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 12/30/2016 |
| Sample type | Quality Assurance | A brief description of the sample | Ultimate Butt Splice |
| The quantity of what the sample constitutes | 150 | 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 | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Harris Rebar | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B358-138-16 | 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) | SE15101993 |
| Hoop Manufacturer Lot Number(s) | H02 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | 8 |
| Diameter of Hoop | 5'-10" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | Nucor |
| Welding Company | Harris Rebar | Coating Standards | Uncoated |
| Weld Type | Flash Welded |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-12-29-2-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2016-12-29-2-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2016-12-29-2-3 CTM 670-December 2013 (Verified)