Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-06-18-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215664 DEA: 070W0304 EFIS: 0720000257 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN,LA-126-R13.2/R34.6,R0.0/R4.1 |
| Award Date | 05/21/2021 |
| Closeout Date | 10/02/2023 |
| Work Description | REPLACE AC SURFACING, PLACE SLURRY SEAL AND PAVEMENT MARKING. |
| Location Description | VENTURA AND LOS ANGELES COUNTIES NEAR SANTA PAULA AND SANTA CLARITA FROM HALLOCK DRIVE TO CASTAIC CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/27/2021) |
Sample Information
| Sample Taken Date | 06/18/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | Recertification | A brief description of the sample | OCM OS Splice Clips #8 |
| The quantity of what the sample constitutes | 8 | 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 | 2137133499 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Rouch Rebar Inc. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-111-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Cascade |
| Coupler Manufacturer | Barsplice Dextra America | Intermediate Assembler or Fabricator | |
| Rebar Size | #6 | Coupler Model | Bar Lock D250sca |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 80822121 | Rebar Heat Number(s) | 452323,453423 |
| Rebar Size 2 | Coupler Unique ID | SL-17-01 |
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. | |||