Sample Record

DIME Sample ID 2019-06-04-1

Project Information

Project IdentifiersProject ID: 213469
DEA: 024C40V4
EFIS: 0218000125
DIST-CO-RTE-PM02-SHA-5-R3.8/R11.7
Award Date11/06/2018
Closeout Date08/16/2023
Work DescriptionWIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB
Location DescriptionSHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date06/04/2019 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Control
A brief description of the sampleBar Reinforcement Steel Couplerss The quantity of what the sample constitutes4
From where was the sample collectedManufacturer First name of sampler or witnessed byRyan
Last name of sampler or witnessed byCummings Title of samplerAssociate Steel Inspector
Telephone number of sampler209-662-3492 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC Rebar Fresno, CA
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormS29-057-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade75 Rebar ManufacturerX
Coupler ManufacturerX Intermediate Assembler or Fabricator
Rebar Size5 Coupler ModelX
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)X Rebar Heat Number(s)X
Rebar Size 2 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments