Sample Record
Owner Labs
- CT SC - 3674 - Livermore
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-02-20-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 209820 DEA: 04297634 EFIS: 0415000040 COOP: 042548 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84,680-17.9/21 |
| Award Date | 02/19/2021 |
| Closeout Date | Not set |
| Work Description | ROUTE 84 WIDENING (4-LANE EXPRESSWAY) FROM I-680 TO PIGEON PASS, INCLUDING INTERSECTION, DRAINAGE IMPROVEMENTS AND UTILITY RELOCATION. |
| Location Description | ALAMEDA COUNTY IN AND NEAR SUNOL, PLEASANTON, AND LIVERMORE ON ROUTE 84 FROM 0.1 MILE EAST OF ROUTE 680 TO 0.1 MILE SOUTH OF RUBY HILL DRIVE AND ON ROUTE 680 FROM 1.2 MILES SOUTH TO 1.8 MILES NORTH OF ROUTE 84 |
| QA Service Level | 1 (Verified on 11/04/2019) |
Sample Information
| Sample Taken Date | 02/20/2025 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 02/24/2025 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 500/510 Couplers |
| The quantity of what the sample constitutes | 150 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ibrahim | Last name of sampler or witnessed by | Marji |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | 5105094817 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 33-0765G | |
| Structure name | Vallecitos Creek | Bid Item | Not set |
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 | Camblin |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | |
| Rebar Size | #11 | Coupler Model | 500/510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 73130586, 73135166 | Rebar Heat Number(s) | 9003993 |
| Rebar Size 2 | Coupler Unique ID | TP-17-03 |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-02-20-10-1 CTM 670-December 2013 (Verified)