Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-04-22-4
Sample is locked from editing. info
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 | 4 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 04/23/2020 |
| Sample type | Quality Control | A brief description of the sample | Mechanical Couplers |
| The quantity of what the sample constitutes | Lot 1 | 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 | L79-018-20 | Structure unique identifier | |
| Structure name | Buchanan St OC | 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 | Gerdau |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | Integrity Rebar |
| Rebar Size | #11 | 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) | MM19103710 Code A188 | Rebar Heat Number(s) | 65028581 |
| Rebar Size 2 | 11 | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-22-4-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-04-22-4-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-04-22-4-3 CTM 670-December 2013 (Verified)
