Sample Record
Owner Lab
- CT SC - 3674 - Pacifica 2
DIME Sample ID 2025-07-18-16
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Project Information
| Project Identifiers | Project ID: 993678 DEA: 042Q8004 EFIS: 0419000050 COOP: 042836,042944 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4 |
| Award Date | 01/22/2025 |
| Closeout Date | Not set |
| Work Description | US 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/15/2022) |
Sample Information
| Sample Taken Date | 07/18/2025 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | HRC 500 510 Couplers |
| The quantity of what the sample constitutes | 150 each | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Bryan | Last name of sampler or witnessed by | Nagid |
| Title of sampler | SR | Telephone number of sampler | 510-385-6910 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Transpacific Steel | Transportation Laboratory (TL) Number | C982407 |
| 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 | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Nucor |
| Coupler Manufacturer | Headed Reinforcement Corporation | 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) | 74137464, 73137344 | Rebar Heat Number(s) | 3500036634 |
| Rebar Size 2 | Coupler Unique ID | TF-17-01 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||