Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-03-20-1

Project Information

Project IdentifiersProject ID: 213442
DEA: 112E1504
EFIS: 1117000179
DIST-CO-RTE-PM11-SD-5-38.1/39.3
Award Date11/06/2017
Closeout Date09/20/2021
Work Description(ALTERNATIVE DELIVERY) WETLAND CONSTRUCTION
Location DescriptionNEAR STATE HIGHWAY IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 08/28/2018)

Sample Information

Sample Taken Date03/20/2019 Sample Unique Key1
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 testing03/26/2019
Sample typeQuality Assurance A brief description of the sampleHRC 500 510 Couplers
The quantity of what the sample constitutesLot 1A From where was the sample collectedFabricator
First name of sampler or witnessed byHitesh Last name of sampler or witnessed byPatel
Title of samplerQA Inspector Telephone number of sampler9168691602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHRC Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL131-043-19 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerGerdau
Coupler ManufacturerGerdau and Jade Sterling Steel Intermediate Assembler or FabricatorFSSW
Rebar Size11 Coupler ModelHRC 500-510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop DiameterNA Rebar Hoop FabricatorNA
Coupler Component Heat/Lot Number(s)500 - Z82834A 510 - 74112074 Rebar Heat Number(s)6503256702
Rebar Size 2 11 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-03-20-1-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)Brian, CT HQ - Sacramento Structural Materials Testing Laboratory03/26/2019Brian
Yes
04/03/2019Bar Broke, Ok Necking
2019-03-20-1-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)Brian, CT HQ - Sacramento Structural Materials Testing Laboratory03/26/2019Brian
Yes
04/03/2019Bar Broke, Ok Necking
2019-03-20-1-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)Brian, CT HQ - Sacramento Structural Materials Testing Laboratory03/26/2019Brian
Yes
04/03/2019Bar Broke, Ok Necking

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-03-20-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-03-20-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-03-20-1-3 CTM 670-December 2013 (Verified)