Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-03-29-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 995498 DEA: 072XL104 EFIS: 0724000158 |
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DIST-CO-RTE-PM | 07-LA-10-14.23 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Column Casings Repair Work |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/20/2023) |
Sample Information
Sample Taken Date | 03/29/2024 | Sample Unique Key | 2 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 04/03/2024 |
Sample type | Quality Assurance | A brief description of the sample | #4 Double Barrel Zap Screwlok |
The quantity of what the sample constitutes | 1220 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
Title of sampler | QA Inspector | Telephone number of sampler | 5624420352 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Security Paving | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-015-24 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
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Service or Ultimate | Service | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | CMC Steel Arizona |
Coupler Manufacturer | Bar Splice Products | Intermediate Assembler or Fabricator | LA Steel |
Rebar Size | #4 | Coupler Model | 04DBZA |
Coating Standards | Uncoated | Shape of Rebar | Hoop |
Rebar Hoop Diameter | 32 | Rebar Hoop Fabricator | CMC Rebar West |
Coupler Component Heat/Lot Number(s) | 3214 | Rebar Heat Number(s) | 4137636 |
Rebar Size 2 | 4 | Coupler Unique ID | SBT-17-01 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-03-29-2-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-03-29-2-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-03-29-2-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-03-29-2-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-03-29-2-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-03-29-2-6 CTM 670-December 2013 (Verified)