Sample Record for 2026-06-26-10
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001625 DEA: 11173704 EFIS: 1100020255
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-2.6/3.2
Work Description: WIDEN INTERCHANGE, STRUCTURES, HMA-A, RHMA-G, LANDSCAPE, & ELECTRICAL.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF PALM AVENUE OVERCROSSING
Contractor Name: SEMA CONSTRUCTION
Contractor Address: 1901 Cmino Vida Roble, Suite 100, Carlsbad, CA 92008
Resident Engineer: Karl Hartline Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-06-26-10
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 06/26/2026
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: (4) #7 Double Barrel Zap Screwlok
A brief description of the sample: Splice Prequalification & Operator Qualification
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Steel Group - San Diego
Material Information
Production or Authorization Testing: Authorization Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor- Utah
Coupler Manufacturer: Bar Splice Products
Intermediate Assembler or Fabricator:
Rebar Size: #7
Coupler Model: 07DBZA
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 5071
Rebar Heat Number(s): 1201058087
Rebar Size 2 :
Coupler Unique ID: SB-17-02
Test Results
