Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2019-12-11-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 210837 DEA: 080J0804 EFIS: 0800000283 COOP: 081625 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-34.7/51.6 |
| Award Date | 04/17/2017 |
| Closeout Date | Not set |
| Work Description | (Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT |
| Location Description | Riverside County and SBD-15-0.0/1.3 |
| QA Service Level | 1 (Verified on 05/08/2017) |
Sample Information
| Sample Taken Date | 12/11/2019 | Sample Unique Key | 2 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 12/13/2019 |
| Sample type | Quality Assurance | A brief description of the sample | Splicing Coupler for Prestressing Strand |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Aleksey | Last name of sampler or witnessed by | Souglobov |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | OLDCAST PRECAST PERRIS | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L136-020-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A955 |
| Material Grade | 80 | Rebar Manufacturer | Sumiden |
| Coupler Manufacturer | NA | Intermediate Assembler or Fabricator | Unknown |
| Rebar Size | 7 | Coupler Model | N/A |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Unknown | Rebar Hoop Fabricator | Unknown |
| Coupler Component Heat/Lot Number(s) | GT12710 | Rebar Heat Number(s) | S0549119-2 |
| Rebar Size 2 | 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||