Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-09-10-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995495 DEA: 101C2704 EFIS: 1014000097 |
|---|---|
| DIST-CO-RTE-PM | 10-STA-5-27.1 |
| Award Date | 03/28/2024 |
| Closeout Date | Not set |
| Work Description | REPLACE SAFETY ROADSIDE REST AREA. |
| Location Description | STATE HIGHWAY IN STANISLAUS COUNTY ABOUT 1.0 MILE SOUTH OF SAN JOAQUIN COUNTY LINE AT THE WESTLEY SAFETY ROADSIDE REST AREA |
| QA Service Level | 1 (Verified on 11/20/2023) |
Sample Information
| Sample Taken Date | 09/10/2024 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | #4 2'-0" Welded Hoops |
| The quantity of what the sample constitutes | 1296 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Sanchez |
| Title of sampler | Telephone number of sampler | 2137133499 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | RKR Steel Welding | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-154-24 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Welded Hoops | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Rebar Heat Number(s) | 4141569 |
| Hoop Manufacturer Lot Number(s) | #1-9 | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Size | #4 |
| Diameter of Hoop | 2'-0" | Epoxy Coated | No |
| Epoxy Coating Color | NA | Rebar Manufacturer | CMC |
| Welding Company | RKR Steel Welding | 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. | |||