Sample Record
Owner Labs
- Sequoia Consultants
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-11-05-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214847 DEA: 074W8204 EFIS: 0720000009 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-17.7 |
| Award Date | 05/21/2020 |
| Closeout Date | 08/02/2021 |
| Work Description | REPLACE STRUCTURAL CONCRETE BRIDGE AND PLACE CONCRETE BARRIER. |
| Location Description | VENTURA COUNTY IN CAMARILLO AT CENTRAL AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 07/08/2020) |
Sample Information
| Sample Taken Date | 11/05/2020 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 Control | A brief description of the sample | #5 Quick Wedge couplers |
| The quantity of what the sample constitutes | 422 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Hall |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 6466327821 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Rouch Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L134-261-20 | Structure unique identifier | |
| Structure name |
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 | CMC Steel Arizona |
| Coupler Manufacturer | Erico nVent | Intermediate Assembler or Fabricator | Rouch Rebar |
| Rebar Size | #5 | Coupler Model | Lenton Quick Wedge |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | A202734 | Rebar Heat Number(s) | 4099688 |
| Rebar Size 2 | 5 | Coupler Unique ID | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||