Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2020-04-22-4
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214923 DEA: 081L7104 EFIS: 0820000141 |
---|---|
DIST-CO-RTE-PM | 08-RIV-91-10.29 |
Award Date | 04/13/2020 |
Closeout Date | 01/14/2021 |
Work Description | Bridge Repair |
Location Description | Not set |
QA Service Level | 1 (Verified on 04/21/2020) |
Sample Information
Sample Taken Date | 04/22/2020 | Sample Unique Key | 4 |
---|---|---|---|
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 | 04/23/2020 |
Sample type | Quality Control | A brief description of the sample | Mechanical Couplers |
The quantity of what the sample constitutes | Lot 1 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
Title of sampler | ASI | Telephone number of sampler | 310-883-8369 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Integrity Rebar | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-018-20 | Structure unique identifier | |
Structure name | Buchanan St OC |
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 | Integrity Rebar |
Rebar Size | #11 | Coupler Model | Zap Screwlok Type 2 |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | NA | Rebar Hoop Fabricator | NA |
Coupler Component Heat/Lot Number(s) | MM19103710 Code A188 | Rebar Heat Number(s) | 65028581 |
Rebar Size 2 | 11 | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2020-04-22-4-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-04-22-4-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-04-22-4-3 CTM 670-December 2013 (Verified)