Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-04-22-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214923 DEA: 081L7104 EFIS: 0820000141 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-91-10.29 |
| Award Date | 04/13/2020 |
| Closeout Date | 01/14/2021 |
| Work Description | Bridge Repair |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/21/2020) |
Sample Information
| Sample Taken Date | 04/22/2020 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Control | A brief description of the sample | XXXX |
| The quantity of what the sample constitutes | XXXXX | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
| Title of sampler | ASI | Telephone number of sampler | 310-883-8369 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Integrity Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-015-20 | Structure unique identifier | |
| Structure name | XXXX | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | XXXX |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | Integrity Rebar |
| Rebar Size | #5 | Coupler Model | Zap Screwlok Type 2 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | NA | Rebar Hoop Fabricator | NA |
| Coupler Component Heat/Lot Number(s) | XXXX | Rebar Heat Number(s) | XXXX |
| Rebar Size 2 | 5 | Coupler Unique ID | Not set |
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. | |||