Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-04-17-2
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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 | 04/17/2024 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 04/24/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #4 Double Barrel Zap Screwlock Couplers |
| The quantity of what the sample constitutes | 1220 couplers | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Preston | Last name of sampler or witnessed by | Brockett |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 5627836180 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Security Paving Company | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L175-028-24 | Structure unique identifier | |
| Structure name |
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 |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | |
| Rebar Size | #4 | Coupler Model | Double Barrel Zap Screwlok |
| Coating Standards | Uncoated | Shape of Rebar | Hoop |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 3214 | Rebar Heat Number(s) | 4138494 |
| Rebar Size 2 | Coupler Unique ID | SB-17-02 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 07-2XL104_6034_L175_04-17-2024_2204_DOC | 04/18/2024 | Info |
Test File Attachments
DIME Test ID: 2024-04-17-2-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-17-2-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-17-2-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-17-2-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-17-2-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-17-2-6 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-17-2-7 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-17-2-8 CTM 670-December 2013 (Verified)