Sample Record for 2018-03-02-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212731 DEA: 07318004 EFIS: 0715000280
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-22.3/28.2
Work Description: TREAT BRIDGE DECK, CLOSURE POUR AND REPLACE JOINT SEALS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM FREMONT AVENUE UNDERCROSSING TO RIO HONDO62
Contractor Name: SPECTRUM CONSTRUCTION GROUP, INC.
Contractor Address: 32 Edelman, Irvine, CA 92618
Resident Engineer: Moe Izadpanah Structure Rep.: Jennifer Man
Sample Information
DIME Sample ID: 2018-03-02-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 03/02/2018
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 9 lots
A brief description of the sample: Barsplice Double Barrel Zap Screwlok
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DRS Rebar Inc
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: Bar Splice
Intermediate Assembler or Fabricator:
Rebar Size: #5
Coupler Model: Barsplice Double Barrel Zap Screwlok
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 7048, 80172
Rebar Heat Number(s): PL17108760
Rebar Size 2 :
Coupler Unique ID:
Test Results
