Sample Record
Owner Lab
- G3 Quality, Incorporated - Cerritos
DIME Sample ID 2024-05-03-4
Sample is locked from editing. info
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 | 05/03/2024 | Sample Unique Key | 4 |
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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 | 05/10/2024 |
Sample type | Per Request | A brief description of the sample | #11 Zap Screwlok Type 2 |
The quantity of what the sample constitutes | 28 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Robert | Last name of sampler or witnessed by | Mendoza |
Title of sampler | Inspector | Telephone number of sampler | (951) 264-7798 |
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 | CIDH OS304-3 |
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 | Dayton Superior CMC Rebar | Intermediate Assembler or Fabricator | |
Rebar Size | #11 | Coupler Model | Zap Screwlok Type 2 |
Coating Standards | Uncoated | Shape of Rebar | Straight |
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 ID | SL-17-03 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
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)