Sample Record for 2024-08-14-24
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994267 DEA: 07326204 EFIS: 0716000113
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-39-17.8
Work Description: CONSTRUCT BRIDGE, PLACE STRUCTURAL STEEL AND CONCRETE BARRIER.
Location Description: LOS ANGELES COUNTY IN AZUSA AT SAN GABRIEL RIVER BRIDGE
Contractor Name: FEC Future Contractors & Engineers, Inc
Contractor Address: 184 Technology Dr., Ste 2, Irvine, CA 92618
Resident Engineer: Joe Doughly Structure Rep.: Hadi Moradi
Sample Information
DIME Sample ID: 2024-08-14-24
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 08/14/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/15/2024
The quantity of what the sample constitutes: 6
A brief description of the sample: D250L Bar Lock
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: NA
Coupler Manufacturer: Dayton Superior
Intermediate Assembler or Fabricator:
Rebar Size: #5
Coupler Model: D250L Bar Lock
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 203196
Rebar Heat Number(s): 4000005511
Rebar Size 2 :
Coupler Unique ID: SL-17-06
Test Results
