Sample Record

DIME Sample ID 2022-07-25-10

Project Information

Project IdentifiersProject ID: 215456
DEA: 07293604
EFIS: 0713000238
DIST-CO-RTE-PM07-LA-405-14.3/15.8
Award Date05/26/2021
Closeout Date07/03/2025
Work DescriptionCONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS.
Location DescriptionLOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET
QA Service Level1 (Verified on 07/07/2021)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date07/25/2022 Sample Unique Key10
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sample#10 Grip-Twist Couplers The quantity of what the sample constitutes80
From where was the sample collectedFabricator First name of sampler or witnessed byAndrew
Last name of sampler or witnessed byWebster Title of samplerQA Inspector
Telephone number of sampler9254189838 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameOrtiz Enterprises Inc.
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL154-079-22
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 ManufacturerCascade Steel
Coupler ManufacturerBarSplice Intermediate Assembler or Fabricator
Rebar Size#10 Coupler ModelTaper GripTwist
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)A214593 Rebar Heat Number(s)255521
Rebar Size 2 Coupler Unique IDNot set

Submitted Tests

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