Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-07-09-35
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 7613 DEA: 071218W4 EFIS: 0700021119 |
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DIST-CO-RTE-PM | 07-LA-5-29.4/31.6 |
Award Date | 11/29/2012 |
Closeout Date | 07/31/2023 |
Work Description | REALIGN ROUTE 5 AND RAILROAD TRACKS AND RECONFIGURE ON- AND OFF-RAMPS. |
Location Description | LOS ANGELES COUNTY IN BURBANK FROM WEST MAGNOLIA BOULEVARD OVERCROSSING TO 0.3 MILE NORTH OF BUENA VISTA STREET/WINONA AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 10/08/2012) |
Sample Information
Sample Taken Date | 07/09/2020 | Sample Unique Key | 35 |
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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 | 07/29/2020 |
Sample type | Quality Assurance | A brief description of the sample | HRC 500/510 |
The quantity of what the sample constitutes | 36 | From where was the sample collected | Distributor |
First name of sampler or witnessed by | Ken | Last name of sampler or witnessed by | Varela |
Title of sampler | ASI | Telephone number of sampler | (562) 440-7716 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Integrity Rebar Placers | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L08-065-20 | Structure unique identifier | |
Structure name |
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 | Gerau |
Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | Integrity Rebar Placers |
Rebar Size | #4 | Coupler Model | 500/510 |
Coating Standards | Uncoated | Shape of Rebar | Hoop |
Rebar Hoop Diameter | Rebar Hoop Fabricator | Integrity Rebar Placers | |
Coupler Component Heat/Lot Number(s) | A190833 / 10079113 | Rebar Heat Number(s) | 6503051602 |
Rebar Size 2 | 4 | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2020-07-09-35-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-07-09-35-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-07-09-35-3 CTM 670-December 2013 (Verified)