Sample Record

Owner Labs

  • Sequoia Consultants
  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2024-11-13-17

Project Information

Project IdentifiersProject ID: 994326
DEA: 051C3604
EFIS: 0512000134
DIST-CO-RTE-PM05-SB-217-0.9/1.4
Award Date01/31/2023
Closeout DateNot set
Work DescriptionREPLACE BRIDGE.
Location DescriptionSANTA BARBARA COUNTY NEAR GOLETA FROM 0.2 MILE EAST OF GOLETA SLOUGH BRIDGE TO 0.4 MILE EAST OF SAN JOSE CREEK BRIDGE
QA Service Level1 (Verified on 10/17/2022)

Sample Information

Sample Taken Date11/13/2024 Sample Unique Key17
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 testing11/13/2024
Sample typeQuality Control A brief description of the sampleHRC 500/510 coupler
The quantity of what the sample constitutes600 Lots 1~4 From where was the sample collectedFabricator
First name of sampler or witnessed bySteve Last name of sampler or witnessed byHall
Title of samplerCT METS QA INSPECTOR Telephone number of sampler915 296 1869
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameIntegrity Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL134-059-24 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCascade
Coupler ManufacturerHRC Intermediate Assembler or FabricatorIntegrity Rebar Placers
Rebar Size#9 Coupler ModelHRC 500/510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)HRC500 A224297 HRC510 A232690 Rebar Heat Number(s)388922
Rebar Size 2 9 Coupler Unique IDTP-17-03

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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