Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2018-03-02-2

Project Information

Project IdentifiersProject ID: 212731
DEA: 07318004
EFIS: 0715000280
DIST-CO-RTE-PM07-LA-10-22.3/28.2
Award Date11/16/2017
Closeout Date06/16/2021
Work DescriptionTREAT BRIDGE DECK, CLOSURE POUR AND REPLACE JOINT SEALS.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM FREMONT AVENUE UNDERCROSSING TO RIO HONDO62
QA Service Level1 (Verified on 03/21/2018)

Sample Information

Sample Taken Date03/02/2018 Sample Unique Key2
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 testingNot set
Sample typeQuality Control A brief description of the sampleBarsplice Double Barrel Zap Screwlok
The quantity of what the sample constitutes9 lots From where was the sample collectedFabricator
First name of sampler or witnessed byRussell Last name of sampler or witnessed byLynch
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDRS Rebar Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL96-050-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerNucor
Coupler ManufacturerBar Splice Intermediate Assembler or Fabricator
Rebar Size#5 Coupler ModelBarsplice Double Barrel Zap Screwlok
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)7048, 80172 Rebar Heat Number(s)PL17108760
Rebar Size 2 Not set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.