Sample Record

DIME Sample ID 2024-06-18-1

Project Information

Project IdentifiersProject ID: 215664
DEA: 070W0304
EFIS: 0720000257
DIST-CO-RTE-PM07-VEN,LA-126-R13.2/R34.6,R0.0/R4.1
Award Date05/21/2021
Closeout Date10/02/2023
Work DescriptionREPLACE AC SURFACING, PLACE SLURRY SEAL AND PAVEMENT MARKING.
Location DescriptionVENTURA AND LOS ANGELES COUNTIES NEAR SANTA PAULA AND SANTA CLARITA FROM HALLOCK DRIVE TO CASTAIC CREEK BRIDGE
QA Service Level1 (Verified on 09/27/2021)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date06/18/2024 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeRecertification
A brief description of the sampleOCM OS Splice Clips #8 The quantity of what the sample constitutes8
From where was the sample collectedFabricator First name of sampler or witnessed byAdrian
Last name of sampler or witnessed bySanchez Title of sampler
Telephone number of sampler2137133499 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameRouch Rebar Inc.
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL159-111-24
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCascade
Coupler ManufacturerBarsplice Dextra America Intermediate Assembler or Fabricator
Rebar Size#6 Coupler ModelBar Lock D250sca
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)80822121 Rebar Heat Number(s)452323,453423
Rebar Size 2 Coupler Unique IDSL-17-01

Submitted Tests

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