Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-01-08-1
Project Information
| Project Identifiers | Project ID: 994901 DEA: 112T3434 EFIS: 1120000081 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-805-5.1/8.3 |
| Award Date | 01/29/2024 |
| Closeout Date | Not set |
| Work Description | SOUNDWALLS, WIDEN FREEWAY, STRUCTURES, LANDSCAPE AND ELECTRICAL. |
| Location Description | SAN DIEGO COUNTY IN CHULA VISTA FROM PALOMAR STREET OVERCROSSING TO 0.5 MILE NORTH OF BONITA ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 03/21/2024) |
Sample Information
| Sample Taken Date | 01/08/2025 | 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 | 01/08/2025 |
| Sample type | Quality Assurance | A brief description of the sample | #9 HY-TEN Threaded Couplers |
| The quantity of what the sample constitutes | 10 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 9152961869 |
| 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 | L134-001-25 | 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 Oregon |
| Coupler Manufacturer | HY Ten | Intermediate Assembler or Fabricator | Integrity Rebar Placers |
| Rebar Size | #9 | Coupler Model | HT S Standard Coupler |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | M/245328/6552 F/245304/6577 | Rebar Heat Number(s) | 388822 |
| Rebar Size 2 | 9 | Coupler Unique ID | ST-23-03 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
