Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-02-09-2
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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 | 02/09/2024 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 02/20/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #6 Grip Twist Coupler |
| The quantity of what the sample constitutes | 52 | 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 | Integrity Rebar Placers | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L159-022-24 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Nucor |
| Coupler Manufacturer | Barsplice | Intermediate Assembler or Fabricator | |
| Rebar Size | #6 | Coupler Model | Griptwist |
| Coating Standards | ASTM A775 epoxy | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | C210603 | Rebar Heat Number(s) | 1202046437 |
| Rebar Size 2 | Coupler Unique ID | SS-17-05 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-02-09-2-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-02-09-2-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-02-09-2-3 CTM 670-December 2013 (Verified)