Sample Record

Owner Lab

  • G3 Quality, Incorporated - Cerritos

DIME Sample ID 2022-07-14-39

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 Date07/14/2022 Sample Unique Key39
Date that the sample was received by the laboratory/organization performing the testing07/20/2022 Sample typePer Request
A brief description of the sample#10 Zap Screwlok Type 2 The quantity of what the sample constitutes45
From where was the sample collectedJob Site First name of sampler or witnessed byNestor
Last name of sampler or witnessed byAlvarez Title of samplerInspector
Telephone number of sampler(909) 649-7610 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 nameMountain Bent 2 Footing
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC Rebar
Coupler ManufacturerBarSplice Intermediate Assembler or Fabricator
Rebar Size#10 Coupler ModelScrewlok Type 2
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)Heat 4000003128 and 4000003124 Rebar Heat Number(s)4117290
Rebar Size 2 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2022-07-14-39-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory07/21/202207/21/2022
Yes
07/22/2022Service SplicePublic - Test Data Visible
2022-07-14-39-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory07/21/202207/21/2022
Yes
07/22/2022Service SplicePublic - Test Data Visible
2022-07-14-39-4CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory07/21/202207/21/2022
Yes
07/22/2022Service SplicePublic - Test Data Visible

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-07-14-39-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-07-14-39-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-07-14-39-4 CTM 670-December 2013 (Verified)