Sample Record

Owner Lab

  • G3 Quality, Inc. - Cerritos

DIME Sample ID 2021-04-09-11

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date04/09/2021 Sample Unique Key11
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 testing04/14/2021
Sample typePer Request A brief description of the sample#4 HRC
The quantity of what the sample constitutes120 From where was the sample collectedJob Site
First name of sampler or witnessed byDarryl Last name of sampler or witnessed byGonzalez
Title of samplerInspector Telephone number of sampler(951) 990-5036
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC Rebar
Coupler ManufacturerHRC Intermediate Assembler or Fabricator
Rebar Size#4 Coupler ModelHRC 500/510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)A190833 Rebar Heat Number(s)4103071
Rebar Size 2

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-04-09-11-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewingCT HQ - Sacramento Structural Materials Testing Laboratory04/16/2021bewing
Yes
04/19/2021Ok Necking
2021-04-09-11-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewingCT HQ - Sacramento Structural Materials Testing Laboratory04/16/2021bewing
Yes
04/19/2021Ok Necking
2021-04-09-11-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewingCT HQ - Sacramento Structural Materials Testing Laboratory04/16/2021bewing
Yes
04/19/2021Ok Necking