Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-10-15-3

Project Information

Project IdentifiersProject ID: 1000081
DEA: 081J5404
EFIS: 0818000069
DIST-CO-RTE-PM08-SBD-15-2.4
Award Date04/02/2025
Closeout DateNot set
Work DescriptionCB, JPCP (RSC), STRUCTURAL CONCRETE AND MODIFYING LIGHTING SYSTEMS.
Location DescriptionSAN BERNARDINO COUNTY IN ONTARIO AT ROUTE 10/15 SEPARATION
QA Service Level1 (Verified on 02/06/2024)

Sample Information

Sample Taken Date10/15/2025 Sample Unique Key3
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 testing10/15/2025
Sample typeQuality Assurance A brief description of the sample#11 Couplers
The quantity of what the sample constitutes4 Couplers From where was the sample collectedJob Site
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQA Telephone number of sampler7029172503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameNext Century Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-140-25 Structure unique identifier
Structure name Bid Item64 - BAR REINFORCING STEEL (BRIDGE)

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCascade
Coupler ManufacturerDayton Barlock Intermediate Assembler or Fabricator
Rebar Size#11 Coupler ModelDayton Bar lock couplers
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)4000003593 Rebar Heat Number(s)331925
Rebar Size 2 Coupler Unique IDSL-17-06

Submitted Tests

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