Sample Record for 2024-09-10-18
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 995176 DEA: 051H3104 EFIS: 0516000060
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-154-R5.7/R6.2
Work Description: CONSTRUCT ROUNDABOUT, CURB RAMPS, RUMBLE STRIP AND LIGHTING SYSTEM.
Location Description: SANTA BARBARA COUNTY NEAR SANTA YNEZ FROM 0.3 MILE EAST OF EDISON STREET/BASELINE AVENUE TO 0.2 MILE WEST OF EDISON STREET/BASELINE AVENUE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: Unknown
Resident Engineer: Joseph Person Structure Rep.: Cliff (Clifford) Replogle
Sample Information
DIME Sample ID: 2024-09-10-18
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: 09/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/10/2024
The quantity of what the sample constitutes: 4 # 5 rebar with couplers
A brief description of the sample: D101 and D101A Bar Splice
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Precon Products
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: Dayton Superior
Intermediate Assembler or Fabricator: Precon
Rebar Size: #5
Coupler Model: DB/DI
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 360003597122
Rebar Heat Number(s): 3600035971
Rebar Size 2 : 5
Coupler Unique ID: SF-17-01
Test Results
