Sample Record for 2024-01-16-19
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994191 DEA: 081G8304 EFIS: 0816000079
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-40-R100.8/R101.8
Work Description: HMA, STRUCTURAL CONC, BAR REINFORCING STEEL, CRSP & IMPORTED BORROW.
Location Description: SAN BERNARDINO COUNTY AT ESSEX FROM 1.1 MILES EAST OF ESSEX ROAD OVERCROSSING TO 0.5 MILE EAST OF HALFWAY HILLS WASH BRIDGE
Contractor Name: SKANSKA USA CIVIL WEST CALIFORNIA DISTRICT INC.
Contractor Address: 1995 Agua Mansa Rd, Riverside, CA 92509
Resident Engineer: Anthony Doan Structure Rep.: Jegbefume Adodo
Sample Information
DIME Sample ID: 2024-01-16-19
TL Number from the TL Form:
Sample Submitted By Organization: Skanska USA Civil
Sample Organization Contact: (951) 204-2981
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 01/16/2024
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 20
A brief description of the sample: HRC 500/510
From where was the sample collected: Job Site
Laboratory sample identification: 2024-01-17-01
Structure unique identifier: 54-0799
Structure name: Halfway Hills Wash
The fabricator/manufacturer/facility name: Camblin Steel Service
Material Information
Production or Authorization Testing: Authorization Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Vinton Steel
Coupler Manufacturer: Vinton Steel
Intermediate Assembler or Fabricator:
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): 73131267/73131301
Rebar Heat Number(s): 2311607
Rebar Size 2 :
Coupler Unique ID: TP-17-03
Test Results
