Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-08-15-5
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 | 08/15/2024 | Sample Unique Key | 5 |
---|---|---|---|
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 Assurance | A brief description of the sample | #9 HRC 500/510 Couplers |
The quantity of what the sample constitutes | 168 Couplers | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Henry | Last name of sampler or witnessed by | Arredondo |
Title of sampler | CALTRANS QA INSPECTOR | Telephone number of sampler | 5623329603 |
Laboratory sample identification | TP-17-03 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Headed Reinforcement Corp, Fountain Valley, CA | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L166-065-24 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
---|---|---|---|
Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | CMC Steel Arizona |
Coupler Manufacturer | Headed Reinforcement Corporation Fountain Val | Intermediate Assembler or Fabricator | Salvador Lopez |
Rebar Size | #9 | Coupler Model | HRC 500/510 |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
Coupler Component Heat/Lot Number(s) | 79001741, 73131267, 79003949, 73130586 | Rebar Heat Number(s) | 6041939, 4128942, 9001247 |
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. |