Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-09-10-17
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Project Information
| Project Identifiers | Project ID: 995176 DEA: 051H3104 EFIS: 0516000060 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-154-R5.7/R6.2 |
| Award Date | 01/29/2024 |
| Closeout Date | 09/16/2025 |
| Work Description | CONSTRUCT ROUNDABOUT, CURB RAMPS, RUMBLE STRIP AND LIGHTING SYSTEM. |
| Location Description | SANTA BARBARA COUNTY NEAR SANTA YNEZ FROM 0.3 MILE EAST OF EDISON STREET/BASELINE AVENUE TO 0.2 MILE WEST OF EDISON STREET/BASELINE AVENUE |
| QA Service Level | 1 (Verified on 10/02/2023) |
Sample Information
| Sample Taken Date | 09/10/2024 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 09/12/2024 |
| Sample type | Quality Assurance | A brief description of the sample | D101 and D101A Bar Splice |
| The quantity of what the sample constitutes | 4 # 5 rebar with couplers | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Subramony | Last name of sampler or witnessed by | Krishnamoorthy |
| Title of sampler | QA Insepctor | Telephone number of sampler | 9512014921 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Precon Products | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L88-30-2024 | Structure unique identifier | |
| Structure name | 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 | Dayton Superior | Intermediate Assembler or Fabricator | Precon |
| Rebar Size | #5 | Coupler Model | DB/DI |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 360003597122 | Rebar Heat Number(s) | 3600035971 |
| Rebar Size 2 | 5 | Coupler Unique ID | SF-17-01 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-10-17-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-09-10-17-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-09-10-17-3 CTM 670-December 2013 (Verified)