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Sample Record for 2019-08-06-3

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 212785 DEA: 04014114 EFIS: 0414000436 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-80-2.1
Work Description: CONSTRUCT MAINTENANCE BUILDING AND PARKING LOT
Location Description: IN ALAMEDA COUNTY IN OAKLAND AT THE SAN FRANCISCO-OAKLAND BAY BRIDGE MAINTENANCE YARD
Contractor Name: THOMPSON BUILDERS CORPORATION
Contractor Address: 250 Bel Marin Keys Blvd, #A, Novato, CA 94949
Resident Engineer: Behzad Halali Structure Rep.: Ahmed Moin

Sample Information

DIME Sample ID: 2019-08-06-3
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 08/06/2019
Date that the sample was received by the laboratory/organization performing the testing: 08/09/2019
The quantity of what the sample constitutes: 12 of 320
A brief description of the sample: 9 HRC 500-510 couplers
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Camblin Steel Service

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Gerdau CMC
Coupler Manufacturer: HRC Gerdau
Intermediate Assembler or Fabricator: Unknown
Rebar Size: 9
Coupler Model: 500/510
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): 351817, 73113004
Rebar Heat Number(s): 9001052, 6503249602
Rebar Size 2 : 9
Coupler Unique ID:

Test Results