Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-06-26-11

Project Information

Project IdentifiersProject ID: 1001625
DEA: 11173704
EFIS: 1100020255
DIST-CO-RTE-PM11-SD-805-2.6/3.2
Award DateNot set
Closeout DateNot set
Work DescriptionWIDEN INTERCHANGE, STRUCTURES, HMA-A, RHMA-G, LANDSCAPE, & ELECTRICAL.
Location DescriptionSAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF PALM AVENUE OVERCROSSING
QA Service Level1 (Verified on 03/04/2026)

Sample Information

Sample Taken Date06/26/2026 Sample Unique Key11
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 testingNot set
Sample typeQuality Control A brief description of the sampleSplice Prequalification & Operator Qualification
The quantity of what the sample constitutes(4) #7 Double Barrel Zap Screwlok From where was the sample collectedFabricator
First name of sampler or witnessed byAlexis Last name of sampler or witnessed byMillan
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Steel Group - San Diego Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL191-102-26 Structure unique identifier
Structure name Bid Item139 - BAR REINFORCING STEEL (BRIDGE)

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerNucor- Utah
Coupler ManufacturerBar Splice Products Intermediate Assembler or Fabricator
Rebar Size#7 Coupler Model07DBZA
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)5071 Rebar Heat Number(s)1201058087
Rebar Size 2 Coupler Unique IDSB-17-02

Submitted Tests

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