Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- Phoenix National Lab
- Kleinfelder - Rancho Cordova
DIME Sample ID 2025-12-23-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994326 DEA: 051C3604 EFIS: 0512000134 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-217-0.9/1.4 |
| Award Date | 01/31/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGE. |
| Location Description | SANTA 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 Level | 1 (Verified on 10/17/2022) |
Sample Information
| Sample Taken Date | 12/23/2025 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 testing | 12/31/2025 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 500 510 Couplers |
| The quantity of what the sample constitutes | 1010 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Adrian | Last name of sampler or witnessed by | Sanchez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Integrity Rebar Placers | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 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 | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Cascade Steel |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | |
| Rebar Size | #9 | Coupler Model | HRC 500-510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 500 Y5156 510 74141308 | Rebar Heat Number(s) | 323925 |
| Rebar Size 2 | Coupler Unique ID | TF-17-01 |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-12-23-2-1 CTM 670-December 2013 (Verified)