Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2022-09-09-5

Project Information

Project IdentifiersProject ID: 212720
DEA: 07291404
EFIS: 0712000094
DIST-CO-RTE-PM07-LA-1-55-58
Award Date02/18/2021
Closeout DateNot set
Work DescriptionTRANCAS CREEK BRIDGE REPLACEMENT
Location DescriptionIN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027).
QA Service Level1 (Verified on 04/02/2021)

Sample Information

Sample Taken Date09/09/2022 Sample Unique Key5
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 sampleLenton Formsavers Coupler
The quantity of what the sample constitutes80 lbs From where was the sample collectedJob Site
First name of sampler or witnessed byAndrew Last name of sampler or witnessed byWebster
Title of samplerQA Inspector Telephone number of sampler9254189838
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameEaton Steel Bar Company Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL154-099-22 Structure unique identifier53-0027
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC Steel Arizona
Coupler ManufacturerEaton Intermediate Assembler or FabricatorLA Steel Services
Rebar Size#4 Coupler ModelEL12SA
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)201718/L9791 Rebar Heat Number(s)4120626
Rebar Size 2 4 Coupler Unique IDST-17-05

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments