Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-07-13-6

Project Information

Project IdentifiersProject ID: 214522
DEA: 07291304
EFIS: 0712000083
DIST-CO-RTE-PM07-VEN-33-7.6
Award Date06/18/2021
Closeout DateNot set
Work DescriptionINSTALL STRUCTURAL CONCRETE, CIDH AND BRIDGE REMOVAL.
Location DescriptionVENTURA COUNTY AT SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 04/15/2020)

Sample Information

Sample Taken Date07/13/2022 Sample Unique Key6
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 testing07/20/2022
Sample typeQuality Control A brief description of the sample#11 BarSplice Griptwist
The quantity of what the sample constitutes150 From where was the sample collectedOther
First name of sampler or witnessed byPaul Last name of sampler or witnessed byShrestha
Title of samplerCT METS QA INSPECTOR Telephone number of sampler(424) 298-7781
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNext Century Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL108-006-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerVinton Steel
Coupler ManufacturerBarSlice Intermediate Assembler or Fabricator
Rebar Size#11 Coupler ModelBarsplice Taper Grip-Twist
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)A215450, A213740 Rebar Heat Number(s)1910271
Rebar Size 2 11 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments