Sample Record

Owner Lab

  • CT D11 - Sweetwater Field Office

DIME Sample ID 2025-06-18-8

Project Information

Project IdentifiersProject ID: 1000575
DEA: 11430904
EFIS: 1119000199
DIST-CO-RTE-PM11-SD-5,805-Var
Award Date02/12/2025
Closeout DateNot set
Work DescriptionRESURFACE BRIDGE, REPLACE BRIDGE BARRIER, MGS, AND MODIFY ELECT.
Location DescriptionSAN DIEGO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/04/2025)

Sample Information

Sample Taken Date06/18/2025 Sample Unique Key8
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 testing07/18/2025
Sample typeQuality Assurance A brief description of the samplemechanical couplers
The quantity of what the sample constitutes1 Lot of 150 From where was the sample collectedJob Site
First name of sampler or witnessed byDoug Last name of sampler or witnessed byLe
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBarSplice Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name47th St UC Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerDRS Rebar
Coupler ManufacturerBarSplice Intermediate Assembler or Fabricator
Rebar Size#5 Coupler ModelZap Screwlok
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)0000000 Rebar Heat Number(s)0000000
Rebar Size 2 Coupler Unique IDSB-17-02

Submitted Tests

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