Sample Record

Owner Labs

  • RMA Group - Rancho Cucamonga
  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-05-14-2

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 Date05/14/2025 Sample Unique Key2
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 testing05/14/2025
Sample typeQuality Assurance A brief description of the sample#14 bar HRC 500/510 Couplers
The quantity of what the sample constitutes4 samples from Lot # 2 From where was the sample collectedFabricator
First name of sampler or witnessed byOsiel Last name of sampler or witnessed by RAMIREZ
Title of samplerQuality Assurance Inspector Telephone number of sampler(916) 767 3535
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameIntegrity Rebar Placers Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL123-033-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCascade Steel
Coupler ManufacturerHRC Intermediate Assembler or FabricatorIntegrity Rebar Placers
Rebar Size#14 Coupler ModelExtender 500 510 Standar
Coating StandardsASTM A934 epoxy Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)74132985, 73132890 Rebar Heat Number(s)186422, 435322
Rebar Size 2 14 Coupler Unique IDTP-17-03

Submitted Tests

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