Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-06-29-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215164 DEA: 07317304 EFIS: 0715000237 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-60-0.0/R3.2,11.8/R21.5 |
| Award Date | Not set |
| Closeout Date | 08/01/2023 |
| Work Description | UPGRADE EXISTING OVERHEAD AND ROADSIDE SIGN PANELS. |
| Location Description | LOS ANGELS COUNTY FROM 0.4 MILE WEST OF ROUTE 5/60 SEPARATION TO ROUTE 60/710 SEPARATION AND FROM ROUTE 60/605 SEPARATION TO FAIRWAY DRIVE UNDERCROSSING |
| QA Service Level | 1 (Verified on 02/18/2021) |
Sample Information
| Sample Taken Date | 06/29/2022 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Control | A brief description of the sample | #14 Bar Splice Coupler |
| The quantity of what the sample constitutes | 398 lb | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Telephone number of sampler | 17029172503 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | DRS Rebar Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-099-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Cascade Steel |
| Coupler Manufacturer | Bar Splice Products | Intermediate Assembler or Fabricator | DRS Rebar |
| Rebar Size | #14 | Coupler Model | Zap Screwlok Coupler Type 2 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | None | Rebar Hoop Fabricator | None |
| Coupler Component Heat/Lot Number(s) | MM20102404 Lot 14ZBA2 14G | Rebar Heat Number(s) | 330121 |
| Rebar Size 2 | 14 | 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. | |||