Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-05-09-12
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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 | 12 |
|---|---|---|---|
| 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 | 8 Samples (4 ea. from total of 4 lots) of #5 Rebar with EL16SAES Form Savers |
| The quantity of what the sample constitutes | 8 | 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 | Nucor |
| Coupler Manufacturer | nVent Lenton | Intermediate Assembler or Fabricator | |
| Rebar Size | #5 | Coupler Model | nVent Lenton Form Saver |
| Coating Standards | ASTM A775 epoxy | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | M0006 | Rebar Heat Number(s) | 1202062533, 1201061114 |
| Rebar Size 2 | Coupler Unique ID | ST-17-05 |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-05-09-12-1 CTM 670-December 2013 (Verified)