Sample Record for 2025-06-18-10
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000575 DEA: 11430904 EFIS: 1119000199
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5,805-Var
Work Description: RESURFACE BRIDGE, REPLACE BRIDGE BARRIER, MGS, AND MODIFY ELECT.
Location Description: SAN DIEGO COUNTY AT VARIOUS LOCATIONS
Contractor Name: J. FRANCIS COMPANY
Contractor Address: 766 Palmyrita Ave. Suite B, Riverside, CA 92507
Resident Engineer: Navid Borzouei Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2025-06-18-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - Sweetwater Field Office
Sample Organization Contact: (858) 688-1429
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 06/18/2025
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1 Lot of 150
A brief description of the sample: mechanical couplers
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name: 47th St UC
The fabricator/manufacturer/facility name: BarSplice
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: DRS Rebar
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator:
Rebar Size: #5
Coupler Model: Zap Screwlok
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 0000000
Rebar Heat Number(s): 0000000
Rebar Size 2 :
Coupler Unique ID: SB-17-02
Test Results
