Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-01-14-5
Sample Details QR Code
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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 | 01/14/2019 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 01/14/2019 |
| Sample type | Quality Control | A brief description of the sample | HRC 500/510 |
| The quantity of what the sample constitutes | 256 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
| Title of sampler | QA | Telephone number of sampler | 310-883-8369 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | CMC Etiwanda | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-001-19 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Gerdau |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | CMC Rebar Etiwanda |
| Rebar Size | 14 | Coupler Model | HRC 500 /510 XTender |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | NA | Rebar Hoop Fabricator | NA |
| Coupler Component Heat/Lot Number(s) | A162884 / 7301431 | Rebar Heat Number(s) | 6502943903 |
| Rebar Size 2 | Coupler Unique ID | Not set |
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. | |||