Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-07-31-4
Project Information
| Project Identifiers | Project ID: 212888 DEA: 07202124 EFIS: 0700020870 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-710-20.9/24.6 |
| Award Date | 02/16/2018 |
| Closeout Date | 05/04/2022 |
| Work Description | PAVEMENT REHABILITATION AND BRIDGE WIDENING |
| Location Description | LOS 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 Level | 1 (Verified on 03/29/2018) |
Sample Information
| Sample Taken Date | 07/31/2018 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 07/31/2018 |
| Sample type | Quality Control | A brief description of the sample | Operator Qualification |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
| Title of sampler | QA Inspector | Telephone number of sampler | 7077918219 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar Etiwanda | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L48-071-18 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Gerdau |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | Hugo Saomera |
| Rebar Size | 14 | Coupler Model | 500 510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| 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 ID | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
