Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-01-26-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212731 DEA: 07318004 EFIS: 0715000280 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-22.3/28.2 |
| Award Date | 11/16/2017 |
| Closeout Date | 06/16/2021 |
| 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 |
| QA Service Level | 1 (Verified on 03/21/2018) |
Sample Information
| Sample Taken Date | 01/26/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 01/30/2018 |
| Sample type | Proficiency | A brief description of the sample | Barsplice Zap Screwlok Coupler |
| The quantity of what the sample constitutes | 4 test bars | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Churchill |
| Title of sampler | QA Inspector | Telephone number of sampler | 510-693-3545 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | DRS Rebar Inc | Transportation Laboratory (TL) Number | C952927 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L02-006-18 | Structure unique identifier | Not set |
| Structure name | Not set |
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 | Gerdau |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | Ruben Sandoval Patrick Cromwell |
| Rebar Size | 5 | Coupler Model | 5DBZA |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Unknown | Rebar Hoop Fabricator | Unknown |
| Coupler Component Heat/Lot Number(s) | 7045 | Rebar Heat Number(s) | 65029565-02 |
| Rebar Size 2 | Not set | Coupler Unique ID | Not set |
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. | |||