Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2026-06-19-9

Project Information

Project IdentifiersProject ID: 1001123
DEA: 051H4704
EFIS: 0516000078
DIST-CO-RTE-PM05-SCR-9-9-13.6,15.5
Award Date09/05/2025
Closeout DateNot set
Work DescriptionREPLACE BRIDGES AND INSTALL MGS.
Location DescriptionSANTA CRUZ COUNTY NEAR BOULDER CREEK AT SAN LORENZO RIVER BRIDGE AND AT KINGS CREEK BRIDGE
QA Service Level1 (Verified on 04/10/2025)

Sample Information

Sample Taken Date06/19/2026 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 testing11/13/2025
Sample typeQuality Control A brief description of the sample#8 ZAP SCREWLOK SL Coupler
The quantity of what the sample constitutesx From where was the sample collectedJob Site
First name of sampler or witnessed byGolnaz Last name of sampler or witnessed bySarram
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namex 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 A615
Material Grade60 Rebar ManufacturerCascade
Coupler ManufacturerBarsplice and Nucor Intermediate Assembler or Fabricator
Rebar Size#8 Coupler ModelZap Screwlok Type 2
Coating StandardsASTM A934 epoxy Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)74134732 Rebar Heat Number(s)1201060250
Rebar Size 2 Coupler Unique IDSL-17-03

Submitted Tests

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