Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-05-09-10
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Project Information
| Project Identifiers | Project ID: 1000409 DEA: 051S1604 EFIS: 0524000176 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-1-60 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Rocky Creek Slip Out Permanent Restoration Project |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/26/2024) |
Sample Information
| Sample Taken Date | 05/09/2025 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 05/15/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 4 samples (1 Lot) of #11 Rebar with HRC 500/510 Couplers |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Alvarez |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 2094301848 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Camblin Steel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | 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 | CMC |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | |
| Rebar Size | #11 | Coupler Model | HRC 500 /510 XTender |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | A232690 (HRC 500) and 73135166 (HRC 510) | Rebar Heat Number(s) | 9003128 |
| Rebar Size 2 | Coupler Unique ID | TP-17-03 |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-05-09-10-1 CTM 670-December 2013 (Verified)