Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-10-02-3
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 994326 DEA: 051C3604 EFIS: 0512000134 |
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DIST-CO-RTE-PM | 05-SB-217-0.9/1.4 |
Award Date | 01/31/2023 |
Closeout Date | Not set |
Work Description | REPLACE BRIDGE. |
Location Description | SANTA BARBARA COUNTY NEAR GOLETA FROM 0.2 MILE EAST OF GOLETA SLOUGH BRIDGE TO 0.4 MILE EAST OF SAN JOSE CREEK BRIDGE |
QA Service Level | 1 (Verified on 10/17/2022) |
Sample Information
Sample Taken Date | 10/02/2023 | Sample Unique Key | 3 |
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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 | 10/16/2023 |
Sample type | Quality Assurance | A brief description of the sample | #14 X 6' Bar Splice Couplers |
The quantity of what the sample constitutes | 150 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 17029172503 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Integrity Rebar Placers | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-095-23 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
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Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | Cascade Steel |
Coupler Manufacturer | HRC Fountian Valley | Intermediate Assembler or Fabricator | Integrity Rebar Placers |
Rebar Size | #14 | Coupler Model | Threaded |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | Rebar Hoop Fabricator | None | |
Coupler Component Heat/Lot Number(s) | 73129190 73130162 73130725 | Rebar Heat Number(s) | 186422 |
Rebar Size 2 | 14 | Coupler Unique ID | TF-17-02 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-10-02-3-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-10-02-3-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-10-02-3-3 CTM 670-December 2013 (Verified)