Sample Record

DIME Sample ID 2021-10-26-8

Project Information

Project IdentifiersProject ID: 215164
DEA: 07317304
EFIS: 0715000237
DIST-CO-RTE-PM07-LA-60-0.0/R3.2,11.8/R21.5
Award DateNot set
Closeout Date08/01/2023
Work DescriptionUPGRADE EXISTING OVERHEAD AND ROADSIDE SIGN PANELS.
Location DescriptionLOS ANGELS COUNTY FROM 0.4 MILE WEST OF ROUTE 5/60 SEPARATION TO ROUTE 60/710 SEPARATION AND FROM ROUTE 60/605 SEPARATION TO FAIRWAY DRIVE UNDERCROSSING
QA Service Level1 (Verified on 02/18/2021)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/26/2021 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testing11/02/2021 Sample typeQuality Control
A brief description of the sample(16) #6 ZAP Coupler The quantity of what the sample constitutes(16) #6 ZAP Coupler
From where was the sample collectedFabricator First name of sampler or witnessed byRigoberto
Last name of sampler or witnessed byMarin Title of samplerAMR
Telephone number of sampler9515000685 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCamblin Steel Service
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL133-122-21
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
Coupler ManufacturerSingle Row ZAP Screwlok Type 2 Series Intermediate Assembler or FabricatorCamblin Steel
Rebar Size#6 Coupler ModelZap Screwlok Type 2
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)74117560 Rebar Heat Number(s)4111931
Rebar Size 2 6 Coupler Unique IDNot set

Submitted Tests

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