Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2018-05-08-4

Project Information

Project IdentifiersProject ID: 212688
DEA: 080Q8904
EFIS: 0800020582
DIST-CO-RTE-PM08-RIV,SBD-10,215,111-Var
Award Date11/17/2017
Closeout Date06/23/2021
Work DescriptionBRIDGE REHABILITATION
Location DescriptionRIVERSIDE AND SAN BERNARDINO COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 02/28/2018)

Sample Information

Sample Taken Date05/08/2018 Sample Unique Key4
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 Assurance A brief description of the samplezap screw lock type 2
The quantity of what the sample constitutesUnknown Quantity From where was the sample collectedJob Site
First name of sampler or witnessed byArnel Last name of sampler or witnessed byVega
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAmerican Steel Placers Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A615
Material Grade60 Rebar Manufacturerunknown
Coupler ManufacturerAmerican Steel Placers Intermediate Assembler or Fabricator
Rebar Sizeunknown Coupler Modelunknown
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)unknown Rebar Heat Number(s)unknown
Rebar Size 2 Not set

Submitted Tests

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