Sample Record

Owner Lab

  • CT METS QASI - Los Angeles Design Build Field Laboratory

DIME Sample ID 2020-09-01-7

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date09/01/2020 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testing09/04/2020 Sample typeQuality Assurance
A brief description of the sample#4 Couplers The quantity of what the sample constitutes52
From where was the sample collectedJob Site First name of sampler or witnessed byEmanuel
Last name of sampler or witnessed bySantamaria Title of samplerMaterials Control Coordinator
Telephone number of sampler9095573818 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC Rebar
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 UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC Steel Arizona
Coupler ManufacturerBarSplice Intermediate Assembler or Fabricator
Rebar Size#4 Coupler ModelDouble Barrel Zap Screwlok
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)4096761, 4096276 Rebar Heat Number(s)4096761, 4096276
Rebar Size 2 5 Coupler Unique IDNot set

Submitted Tests

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