Sample Record

DIME Sample ID 2018-07-31-2

Project Information

Project IdentifiersProject ID: 212888
DEA: 07202124
EFIS: 0700020870
DIST-CO-RTE-PM07-LA-710-20.9/24.6
Award Date02/16/2018
Closeout Date05/04/2022
Work DescriptionPAVEMENT REHABILITATION AND BRIDGE WIDENING
Location DescriptionLOS ANGELES COUNTY IN AND NEAR BELL, VERNON, AND CITY OF COMMERCE, FROM 0.2 MILE SOUTH OF SLAUSON AVENUE OVERCROSSING TO 0.1 MILE NORTH OF THIRD STREET OVERCROSSING
QA Service Level1 (Verified on 03/29/2018)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date07/31/2018 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing07/31/2018 Sample typeQuality Control
A brief description of the sampleOperator Qualification The quantity of what the sample constitutes2
From where was the sample collectedFabricator First name of sampler or witnessed bySherri
Last name of sampler or witnessed byBrannon Title of samplerQA Inspector
Telephone number of sampler7077918219 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC Rebar Etiwanda
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL48-069-18
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerGerdau
Coupler ManufacturerHRC Intermediate Assembler or FabricatorMynor Asencio
Rebar Size14 Coupler Model500 510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)8197393-T2 AIS0128-T2 Rebar Heat Number(s)6502945502
Rebar Size 2 Not set Coupler Unique IDNot set

Submitted Tests

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