Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2023-01-04-8
Project Information
Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
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DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
Award Date | 06/06/2018 |
Closeout Date | Not set |
Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
Location Description | LA/SBD County Line to PM 13.2 near I-15 |
QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
Sample Taken Date | 01/04/2023 | Sample Unique Key | 8 |
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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 | 01/11/2023 |
Sample type | Per Request | A brief description of the sample | #6 ScrewLok Type 2 Coupler |
The quantity of what the sample constitutes | 14 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Nestor | Last name of sampler or witnessed by | Alvarez |
Title of sampler | Inspector | Telephone number of sampler | (909) 649-7610 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Mountain Abut Wing Wall |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
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Service or Ultimate | Service | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | CMC Rebar |
Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | |
Rebar Size | #6 | Coupler Model | Screwlok Type 2 |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
Coupler Component Heat/Lot Number(s) | A216421 | Rebar Heat Number(s) | 4123771 |
Rebar Size 2 | Coupler Unique ID | SF-17-03 |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |