Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2018-07-31-2

Project Information

Project IdentifiersProject ID: 212888
DEA: 07202124
EFIS: 0700020870
DIST-CO-RTE-PM07-LA-710-20.9/24.6
Award Date02/16/2018
Closeout DateNot set
Work DescriptionPAVEMENT REHABILITATION AND BRIDGE WIDENING
Location DescriptionLOS 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 Level1 (Verified on 03/29/2018)

Sample Information

Sample Taken Date07/31/2018 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing07/31/2018
Sample typeQuality Control A brief description of the sampleOperator Qualification
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed bySherri Last name of sampler or witnessed byBrannon
Title of samplerQA Inspector Telephone number of sampler7077918219
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar Etiwanda Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL48-069-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerGerdau
Coupler ManufacturerHRC Intermediate Assembler or FabricatorMynor Asencio
Rebar Size14 Coupler Model500 510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)8197393-T2 AIS0128-T2 Rebar Heat Number(s)6502945502
Rebar Size 2 Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.