Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2023-07-03-12
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Project Information
| Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
| Award Date | 06/06/2018 |
| Closeout Date | Not set |
| Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
| Location Description | LA/SBD County Line to PM 13.2 near I-15 |
| QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
| Sample Taken Date | 07/03/2023 | Sample Unique Key | 12 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 07/07/2023 | Sample type | Per Request |
| A brief description of the sample | #5 Erico Lenton Form Saver | The quantity of what the sample constitutes | 244 |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Robert |
| Last name of sampler or witnessed by | Mendoza | Title of sampler | Inspector |
| Telephone number of sampler | (951) 264-7798 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | CMC Rebar | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | 4th Street Abut Footing Stage 5 | |
| 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 Rebar |
| Coupler Manufacturer | Erico Lenton | Intermediate Assembler or Fabricator | |
| Rebar Size | #5 | Coupler Model | Form Saver |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 223612 Lot 0063 | Rebar Heat Number(s) | 4128974 |
| Rebar Size 2 | 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 |
|---|---|---|---|
| No results found. | |||