Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2026-06-29-35
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1001723 DEA: 050N7064 EFIS: 0524000077 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-10.9/12.3 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | SB 101 - Segment 4E North - Cabrillo |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/03/2025) |
Sample Information
| Sample Taken Date | 06/29/2026 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 | 07/03/2026 |
| Sample type | Quality Assurance | A brief description of the sample | #11 Rebar Couplers |
| The quantity of what the sample constitutes | 350 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mathew | Last name of sampler or witnessed by | Silva |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Capinteria Construction Field Office | 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 | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | CMC |
| Coupler Manufacturer | Headed Reinforcement Corporation Fountain Val | Intermediate Assembler or Fabricator | |
| Rebar Size | #11 | Coupler Model | HRC 500/510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 73142156 73142654 | Rebar Heat Number(s) | 9013290 |
| Rebar Size 2 | Coupler Unique ID | TP-17-02 |
Submitted Tests
Test File Attachments
DIME Test ID: 2026-06-29-35-1 CTM 670-December 2013 (Verified)