Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-09-09-49
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Project Information
| Project Identifiers | Project ID: 212720 DEA: 07291404 EFIS: 0712000094 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-1-55-58 |
| Award Date | 02/18/2021 |
| Closeout Date | Not set |
| Work Description | TRANCAS CREEK BRIDGE REPLACEMENT |
| Location Description | IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027). |
| QA Service Level | 1 (Verified on 04/02/2021) |
Sample Information
| Sample Taken Date | 09/09/2022 | Sample Unique Key | 49 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Lenton Formsavers Coupler |
| The quantity of what the sample constitutes | 80 lbs | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Andrew | Last name of sampler or witnessed by | Webster |
| Title of sampler | QA Inspector | Telephone number of sampler | 9254189838 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Eaton Steel Bar Company | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L154-102-22 | Structure unique identifier | 53-0027 |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | CMC Steel Arizona |
| Coupler Manufacturer | Eaton | Intermediate Assembler or Fabricator | LA Steel Services |
| Rebar Size | #4 | Coupler Model | EL12SA |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 201718/L9791 | Rebar Heat Number(s) | 4120626 |
| Rebar Size 2 | 4 | Coupler Unique ID | ST-17-05 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 2025-09-09-49-1 Results | 10/08/2025 | Info |