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Sample Record for 2022-09-09-7

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Project Information

Project ID: 212720 DEA: 07291404 EFIS: 0712000094 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-1-55-58
Work Description: TRANCAS CREEK BRIDGE REPLACEMENT
Location Description: IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027).
Contractor Name: STACY AND WITBECK, INC.
Contractor Address: 3939 Atlantic Ave Suite 114, Long Beach, CA 90807
Resident Engineer: Gilbert Trujillo Structure Rep.: Frank Lofti

Sample Information

DIME Sample ID: 2022-09-09-7
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 09/09/2022
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 784 lbs
A brief description of the sample: Lenton Formsavers Coupler
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 53-0027
Structure name:
The fabricator/manufacturer/facility name: Eaton Steel Bar Company

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC Steel Oklahoma
Coupler Manufacturer: Eaton
Intermediate Assembler or Fabricator: LA Steel Services
Rebar Size: #6
Coupler Model: EL20SA
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 212561/L9952
Rebar Heat Number(s): 6033966
Rebar Size 2 : 6
Coupler Unique ID: ST-17-05

Test Results