Sample Record

DIME Sample ID 2019-12-11-2

Project Information

Project IdentifiersProject ID: 210837
DEA: 080J0804
EFIS: 0800000283
COOP: 081625
DIST-CO-RTE-PM08-RIV-15-34.7/51.6
Award Date04/17/2017
Closeout Date08/01/2024
Work Description(Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location DescriptionRiverside County and SBD-15-0.0/1.3
QA Service Level1 (Verified on 05/08/2017)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date12/11/2019 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing12/13/2019 Sample typeQuality Assurance
A brief description of the sampleSplicing Coupler for Prestressing Strand The quantity of what the sample constitutes4
From where was the sample collectedSource First name of sampler or witnessed byAleksey
Last name of sampler or witnessed bySouglobov Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameOLDCAST PRECAST PERRIS
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL136-020-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateService Material Standard CodeASTM A955
Material Grade80 Rebar ManufacturerSumiden
Coupler ManufacturerNA Intermediate Assembler or FabricatorUnknown
Rebar Size7 Coupler ModelN/A
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop DiameterUnknown Rebar Hoop FabricatorUnknown
Coupler Component Heat/Lot Number(s)GT12710 Rebar Heat Number(s)S0549119-2
Rebar Size 2 Coupler Unique IDNot set

Submitted Tests

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