Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-04-05-1
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Project Information
| Project Identifiers | Project ID: 213457 DEA: 11430434 EFIS: 1118000197 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-8-12.9/14.6,14.9 |
| Award Date | 07/16/2022 |
| Closeout Date | 08/21/2025 |
| Work Description | HMA, STRUCTURAL BRIDGE, POLYESTER CONC OVERLAY, JPCP, & CONC BARRIER. |
| Location Description | SAN DIEGO COUNTY IN LA MESA AND EL CAJON FROM 0.1 MILE WEST OF GROSSMONT BOULEVARD OVERCROSSING TO WEST MAIN STREET OVERCROSSING AND AT MARSHALL AVENUE OVERHEAD |
| QA Service Level | 1 (Verified on 06/22/2018) |
Sample Information
| Sample Taken Date | 04/05/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 04/09/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #5 Grip Twist Couplers |
| The quantity of what the sample constitutes | 4 lots (500+) | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Preston | Last name of sampler or witnessed by | Brockett |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 5627836180 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Integrity Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L175-024-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
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 | Cascade Steel |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | |
| Rebar Size | #5 | Coupler Model | Taper Threaded Grip- Twist |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | C223889 | Rebar Heat Number(s) | 370823 |
| Rebar Size 2 | Coupler Unique ID | SS-17-03 |
Submitted Tests
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Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 11-430434_6034_04-05-2024_2204_DOCS | 04/17/2024 | Info |
Test File Attachments
DIME Test ID: 2024-04-05-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-6 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-7 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-8 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-9 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-10 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-11 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-05-1-12 CTM 670-December 2013 (Verified)