Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2017-12-18-21
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 210569 DEA: 083555V4 EFIS: 0814000086 |
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DIST-CO-RTE-PM | 08-SBD-15-42.5/46.0 |
Award Date | 11/05/2015 |
Closeout Date | 01/18/2022 |
Work Description | WIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR. |
Location Description | SAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 10/15/2015) |
Sample Information
Sample Taken Date | 12/18/2017 | Sample Unique Key | 21 |
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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 | 01/10/2018 |
Sample type | Quality Assurance | A brief description of the sample | BarGrip XL Coupler |
The quantity of what the sample constitutes | 1 lot | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Ravinder | Last name of sampler or witnessed by | Singh |
Title of sampler | QA | Telephone number of sampler | 9165247768 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Southcoast Steel | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L53-217-17 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
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Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | Gerdau |
Coupler Manufacturer | Bar Grip | Intermediate Assembler or Fabricator | Integrity Rebar |
Rebar Size | 10 | Coupler Model | XL |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | Unknown | Rebar Hoop Fabricator | Unknown |
Coupler Component Heat/Lot Number(s) | 71073403 | Rebar Heat Number(s) | 65027978 |
Rebar Size 2 | Not set | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2017-12-18-21-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2017-12-18-21-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2017-12-18-21-3 CTM 670-December 2013 (Verified)