Sample Record
Owner Lab
- CT SC - 3674 - Livermore
DIME Sample ID 2023-11-09-52
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Project Information
| Project Identifiers | Project ID: 209820 DEA: 04297634 EFIS: 0415000040 COOP: 042548 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84,680-17.9/21 |
| Award Date | 02/19/2021 |
| Closeout Date | Not set |
| Work Description | ROUTE 84 WIDENING (4-LANE EXPRESSWAY) FROM I-680 TO PIGEON PASS, INCLUDING INTERSECTION, DRAINAGE IMPROVEMENTS AND UTILITY RELOCATION. |
| Location Description | ALAMEDA COUNTY IN AND NEAR SUNOL, PLEASANTON, AND LIVERMORE ON ROUTE 84 FROM 0.1 MILE EAST OF ROUTE 680 TO 0.1 MILE SOUTH OF RUBY HILL DRIVE AND ON ROUTE 680 FROM 1.2 MILES SOUTH TO 1.8 MILES NORTH OF ROUTE 84 |
| QA Service Level | 1 (Verified on 11/04/2019) |
Sample Information
| Sample Taken Date | 11/09/2023 | Sample Unique Key | 52 |
|---|---|---|---|
| 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 | 12/27/2023 |
| Sample type | Quality Assurance | A brief description of the sample | #11 HRC xtender 500/510 couplers |
| The quantity of what the sample constitutes | 2 sets of 4 test bars | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Marcos | Last name of sampler or witnessed by | Lopez |
| Title of sampler | ASR | Telephone number of sampler | 510-496-9610 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC Fountain Valley | Transportation Laboratory (TL) Number | 031627 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 01-330386L | |
| Structure name | SB Koopman |
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 | Vinton Steel, CMC Steel OK, CMC Steel AZ |
| Coupler Manufacturer | HRC Fountian Valley CA | Intermediate Assembler or Fabricator | |
| Rebar Size | #11 | Coupler Model | HRC Xtender XT 500/510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 73126937 and 73130586 | Rebar Heat Number(s) | 2212350, 6039401, 4133769 |
| Rebar Size 2 | 11 | Coupler Unique ID | TP-17-01 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-11-09-52-1 CTM 670-December 2013 (Verified)