Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-10-02-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994326 DEA: 051C3604 EFIS: 0512000134 |
|---|---|
| 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 | 4 |
|---|---|---|---|
| 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 | #14 X 6' Bar Splice Couplers |
| The quantity of what the sample constitutes | 120 | 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 |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Vinton 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 | None | Rebar Hoop Fabricator | None |
| Coupler Component Heat/Lot Number(s) | 73129190 | Rebar Heat Number(s) | 186422 |
| Rebar Size 2 | 14 | Coupler Unique ID | TF-17-02 |
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. | |||