Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-06-18-9

Project Information

Project IdentifiersProject ID: 993223
DEA: 11TEST04
EFIS: 11TEST3101
DIST-CO-RTE-PM11---
Award Date10/01/2021
Closeout DateNot set
Work DescriptionTHIS PROJECT WAS ADDED FOR E3101 DEVELOPMENT AND TESTING PURPOSES. DATA SUBMITTED FOR THIS PROJECT MUST NOT BE USED FOR ANY OTHER PURPOSES.
Location DescriptionTHIS PROJECT WAS ADDED FOR E3101 DEVELOPMENT AND TESTING PURPOSES. DATA SUBMITTED FOR THIS PROJECT MUST NOT BE USED FOR ANY OTHER PURPOSES.
QA Service Level1 (Verified on 10/22/2021)

Sample Information

Sample Taken Date06/18/2025 Sample Unique Key9
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 testing06/18/2025
Sample typeQuality Assurance A brief description of the sample Couplers
The quantity of what the sample constitutes150 EA From where was the sample collectedJob Site
First name of sampler or witnessed byKieran Last name of sampler or witnessed byFung
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 name 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 Manufacturer000000000 Intermediate Assembler or Fabricator
Rebar Size#5 Coupler ModelDouble Barrel Zap Screwlok
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)0000000000 Rebar Heat Number(s)000000000
Rebar Size 2 Coupler Unique IDSB-17-02

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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