Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-03-29-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995498 DEA: 072XL104 EFIS: 0724000158 |
|---|---|
| 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 | 3 |
|---|---|---|---|
| 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 Control | 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 |
|---|---|---|---|
| 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
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||