Sample Record
Owner Labs
- CT HQ - Vallejo Field Laboratory
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-11-19-24
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994574 DEA: 050C7334 EFIS: 0518000116 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-10.5/13.4 |
| Award Date | 06/29/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs |
| Location Description | SANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/13/2023) |
Sample Information
| Sample Taken Date | 11/19/2025 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 12/02/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 8 QA Samples |
| The quantity of what the sample constitutes | 300 couplers | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Trever | Last name of sampler or witnessed by | Shiplee |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bar Splice | 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 | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Nucor - Utah |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | |
| Rebar Size | #4 | Coupler Model | 4 DBZ |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 5254 | Rebar Heat Number(s) | 1201071701 |
| Rebar Size 2 | Coupler Unique ID | SB-17-02 |
Submitted Tests
Test File Attachments
DIME Test ID: 2025-11-19-24-1 CTM 670-December 2013 (Verified)