Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-05-08-2
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212245 DEA: 024F8604 EFIS: 0213000043 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-36-26.7/27.1 |
| Award Date | 11/02/2018 |
| Closeout Date | 05/23/2022 |
| Work Description | ROADWAY REALIGNMENT AND NEW BRIDGE CONSTRUCTION |
| Location Description | TRINITY COUNTY ABOUT 9 MILES EAST OF FOREST GLEN FROM 0.6 MILE WEST TO 0.1 MILE WEST OF ROUTE 3 |
| QA Service Level | 1 (Verified on 03/21/2017) |
Sample Information
| Sample Taken Date | 05/08/2019 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 05/09/2019 |
| Sample type | Quality Assurance | A brief description of the sample | #11 Rebar Couplers |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | (510) 385-5910 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Harris Rebar | Transportation Laboratory (TL) Number | 741534 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-019-19 | 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 A615 |
| Material Grade | 60 | Rebar Manufacturer | Nucor |
| Coupler Manufacturer | BarTec | Intermediate Assembler or Fabricator | |
| Rebar Size | 11 | Coupler Model | Bartec |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 8295879 | Rebar Heat Number(s) | 1202002192 |
| Rebar Size 2 | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-05-08-2-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-05-08-2-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-05-08-2-3 CTM 670-December 2013 (Verified)
