Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2020-07-09-35

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 7613
DEA: 071218W4
EFIS: 0700021119
DIST-CO-RTE-PM07-LA-5-29.4/31.6
Award Date11/29/2012
Closeout DateNot set
Work DescriptionREALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS.
Location DescriptionLOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 10/08/2012)

Sample Information

Sample Taken Date07/09/2020 Sample Unique Key35
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 testing07/29/2020
Sample typeQuality Assurance A brief description of the sampleHRC 500/510
The quantity of what the sample constitutes36 From where was the sample collectedDistributor
First name of sampler or witnessed byKen Last name of sampler or witnessed byVarela
Title of samplerASI Telephone number of sampler(562) 440-7716
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameIntegrity Rebar Placers Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL08-065-20 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerGerau
Coupler ManufacturerHRC Intermediate Assembler or FabricatorIntegrity Rebar Placers
Rebar Size#4 Coupler Model500/510
Coating StandardsUncoated Shape of RebarHoop
Rebar Hoop Diameter Rebar Hoop FabricatorIntegrity Rebar Placers
Coupler Component Heat/Lot Number(s)A190833 / 10079113 Rebar Heat Number(s)6503051602
Rebar Size 2 4

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-07-09-35-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/29/2020fsaylor
Yes
07/29/2020OK Necking
2020-07-09-35-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/29/2020fsaylor
Yes
07/29/2020OK Necking
2020-07-09-35-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/29/2020fsaylor
Yes
07/29/2020OK Necking