Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-05-18-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212720 DEA: 07291404 EFIS: 0712000094 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-1-55-58 |
| Award Date | 02/18/2021 |
| Closeout Date | Not set |
| Work Description | TRANCAS CREEK BRIDGE REPLACEMENT |
| Location Description | IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027). |
| QA Service Level | 1 (Verified on 04/02/2021) |
Sample Information
| Sample Taken Date | 05/18/2023 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Control | A brief description of the sample | HRC 500 510 Couplers |
| The quantity of what the sample constitutes | 216 pcs | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | jacob | Last name of sampler or witnessed by | garcia |
| Title of sampler | Telephone number of sampler | 3109128014 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L169-025-23 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | CMC Steel |
| Coupler Manufacturer | HRC Fountian Valley CA | Intermediate Assembler or Fabricator | |
| Rebar Size | #10 | Coupler Model | HRC 500 /510 XTender |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 74128926 | Rebar Heat Number(s) | 3120181, 4124054 |
| Rebar Size 2 | Coupler Unique ID | TP-17-03 |
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. | |||