Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-08-16-2
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Project Information
| Project Identifiers | Project ID: 212720 DEA: 07291404 EFIS: 0712000094 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-1-55-58 |
| Award Date | 02/18/2021 |
| Closeout Date | Not set |
| Work Description | TRANCAS CREEK BRIDGE REPLACEMENT |
| Location Description | IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027). |
| QA Service Level | 1 (Verified on 04/02/2021) |
Sample Information
| Sample Taken Date | 08/16/2024 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 08/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #9 HRC 500/510 Couplers |
| The quantity of what the sample constitutes | 168 Couplers | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Henry | Last name of sampler or witnessed by | Arredondo |
| Title of sampler | CALTRANS QA INSPECTOR | Telephone number of sampler | 5623329603 |
| Laboratory sample identification | TP-17-03 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Headed Reinforcement Corp, Fountain Valley, CA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L166-065-24 | Structure unique identifier | |
| Structure name | 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 | CMC Steel Arizona |
| Coupler Manufacturer | Headed Reinforcement Corporation Fountain Val | Intermediate Assembler or Fabricator | Salvador Lopez |
| Rebar Size | #9 | Coupler Model | HRC 500/510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 79001741, 73131267, 79003949, 73130586 | Rebar Heat Number(s) | 6041939, 4128942, 9001247 |
| Rebar Size 2 | 9 | Coupler Unique ID | TP-17-03 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-08-16-2-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-16-2-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-16-2-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-16-2-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-16-2-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-16-2-6 CTM 670-December 2013 (Verified)