Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2026-04-21-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001123 DEA: 051H4704 EFIS: 0516000078 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-9-9-13.6,15.5 |
| Award Date | 09/05/2025 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGES AND INSTALL MGS. |
| Location Description | SANTA CRUZ COUNTY NEAR BOULDER CREEK AT SAN LORENZO RIVER BRIDGE AND AT KINGS CREEK BRIDGE |
| QA Service Level | 1 (Verified on 04/10/2025) |
Sample Information
| Sample Taken Date | 04/21/2026 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 04/21/2026 |
| Sample type | Quality Assurance | A brief description of the sample | #4 Rebar Coupled bars |
| The quantity of what the sample constitutes | 1 lot of 16 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Stacey | Last name of sampler or witnessed by | Davis |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | C & N Reinforcing | 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 | CMC |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | |
| Rebar Size | #4 | Coupler Model | Double Bar Zap Screwlok |
| Coating Standards | ASTM A934 epoxy | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 1043 | Rebar Heat Number(s) | 4156763 |
| Rebar Size 2 | Coupler Unique ID | SB-17-02 |
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 |
|---|---|---|---|
| 2026-04-21-8 S86-023-26 Supporting Docs | 04/21/2026 | Info |