Sample Record for 2024-01-26-12
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213457 DEA: 11430434 EFIS: 1118000197
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-8-12.9/14.6,14.9
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
Contractor Name: Griffith Company
Contractor Address: 13400 Sabre Springs Parkway, Suite 200, SAN DIEGO, CA 92128
Resident Engineer: Chad Lim Structure Rep.: Janelle Clanton
Sample Information
DIME Sample ID: 2024-01-26-12
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 01/26/2024
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 906 pcs
A brief description of the sample: Barsplice Griptwist coupler
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Barsplice Integrity Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Cascade Steel
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator: Integrity Rebar
Rebar Size: #5
Coupler Model: Grip Twist male and female
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): C219745
Rebar Heat Number(s): 480622
Rebar Size 2 :
Coupler Unique ID: SS-17-03
Test Results
