Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-10-15-4
Project Information
| Project Identifiers | Project ID: 1000081 DEA: 081J5404 EFIS: 0818000069 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-2.4 |
| Award Date | 04/02/2025 |
| Closeout Date | Not set |
| Work Description | CB, JPCP (RSC), STRUCTURAL CONCRETE AND MODIFYING LIGHTING SYSTEMS. |
| Location Description | SAN BERNARDINO COUNTY IN ONTARIO AT ROUTE 10/15 SEPARATION |
| QA Service Level | 1 (Verified on 02/06/2024) |
Sample Information
| Sample Taken Date | 10/15/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | 10/15/2025 |
| Sample type | Quality Control | A brief description of the sample | #11 Couplers |
| The quantity of what the sample constitutes | 4 Couplers | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | QA | Telephone number of sampler | 7029172503 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Next Century Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-140-25 | Structure unique identifier | |
| Structure name | Bid Item | 64 - BAR REINFORCING STEEL (BRIDGE) |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Cascade |
| Coupler Manufacturer | Dayton Barlock | Intermediate Assembler or Fabricator | |
| Rebar Size | #11 | Coupler Model | Dayton Bar lock couplers |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 4000003593 | Rebar Heat Number(s) | 331925 |
| Rebar Size 2 | Coupler Unique ID | SL-17-06 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
