Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-02-18-1
Project Information
Project Identifiers | Project ID: 213442 DEA: 112E1504 EFIS: 1117000179 |
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DIST-CO-RTE-PM | 11-SD-5-38.1/39.3 |
Award Date | 11/06/2017 |
Closeout Date | 09/20/2021 |
Work Description | (ALTERNATIVE DELIVERY) WETLAND CONSTRUCTION |
Location Description | NEAR STATE HIGHWAY IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 08/28/2018) |
Sample Information
Sample Taken Date | 02/18/2019 | Sample Unique Key | 1 |
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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 testing | 02/26/2019 |
Sample type | Quality Assurance | A brief description of the sample | HRC 500 510 Couplers |
The quantity of what the sample constitutes | Lot 1 - 42 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
Title of sampler | QA Inspector | Telephone number of sampler | 707-342-8602 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-018-19 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
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Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | Gerdau |
Coupler Manufacturer | Gerdau and Jade Sterling Steel | Intermediate Assembler or Fabricator | FSSW |
Rebar Size | 11 | Coupler Model | HRC 500-510 |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | NA | Rebar Hoop Fabricator | NA |
Coupler Component Heat/Lot Number(s) | 500 - Z82834A 510 - 74112074 | Rebar Heat Number(s) | 6503256702 |
Rebar Size 2 | 11 | Coupler Unique ID | Not set |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |