Sample Record

Owner Lab

  • G3 Quality, Incorporated - Cerritos

DIME Sample ID 2024-05-03-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date05/03/2024 Sample Unique Key4
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 testing05/10/2024
Sample typePer Request A brief description of the sample#11 Zap Screwlok Type 2
The quantity of what the sample constitutes28 From where was the sample collectedJob Site
First name of sampler or witnessed byRobert Last name of sampler or witnessed byMendoza
Title of samplerInspector Telephone number of sampler(951) 264-7798
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameCIDH OS304-3

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC Rebar
Coupler ManufacturerDayton Superior CMC Rebar Intermediate Assembler or Fabricator
Rebar Size#11 Coupler ModelZap Screwlok Type 2
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)4000016131 and 4000017377 Rebar Heat Number(s)9001721
Rebar Size 2 11 Coupler Unique IDSL-17-03

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-05-03-4-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)aauvinen, CT HQ - Sacramento Structural Materials Testing Laboratory05/13/2024aauvinen
Yes
05/13/2024Service Splice
2024-05-03-4-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)aauvinen, CT HQ - Sacramento Structural Materials Testing Laboratory05/13/2024aauvinen
Yes
05/13/2024Service Splice
2024-05-03-4-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)aauvinen, CT HQ - Sacramento Structural Materials Testing Laboratory05/13/2024aauvinen
Yes
05/13/2024Service Splice

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-05-03-4-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-05-03-4-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-05-03-4-3 CTM 670-December 2013 (Verified)