Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-03-14-4
Project Information
| Project Identifiers | Project ID: 211235 DEA: 054482U4 EFIS: 0500000543 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-2.2/3.3 |
| Award Date | 06/20/2016 |
| Closeout Date | 08/23/2021 |
| Work Description | BUILD AND RECONSTRUCT BRIDGES, CONSTRUCT RAMPS AND FRONTAGE ROAD. |
| Location Description | SANTA BARBARA COUNTY IN CARPINTERIA FROM 0.2 MILE SOUTH OF CARPINTERIA CREEK BRIDGE TO FRANKLIN CREEK BRIDGE |
| QA Service Level | 1 (Verified on 07/27/2016) |
Sample Information
| Sample Taken Date | 03/14/2019 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Couplers |
| The quantity of what the sample constitutes | 150 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Ed | Last name of sampler or witnessed by | Fleming |
| Title of sampler | TET | Telephone number of sampler | 707-310-2029 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Harris Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B10-113-19 | Structure unique identifier | Not set |
| Structure name | Not set | 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 | Nucor |
| Coupler Manufacturer | zap | Intermediate Assembler or Fabricator | Harris Rebar |
| Rebar Size | 10 | Coupler Model | Zap |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | MM18103576 Code ED | Rebar Heat Number(s) | 3500004803 |
| Rebar Size 2 | Coupler Unique ID | Not set |
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. | |||
