Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-02-12-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212244 DEA: 044G8404 EFIS: 0413000051 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-128-20.1/20.4 |
| Award Date | 02/19/2019 |
| Closeout Date | 06/27/2023 |
| Work Description | REPLACE CAPELL CREEK BRIDGE |
| Location Description | NAPA COUNTY ABOUT 15 MILES EAST OF RUTHERFORD FROM 1.1 MILES EAST OF KNOXVILLE ROAD TO 0.3 MILE WEST OF CAPELL VALLEY CREST |
| QA Service Level | 1 (Verified on 05/20/2017) |
Sample Information
| Sample Taken Date | 02/12/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 02/12/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Coupler |
| The quantity of what the sample constitutes | 1 lot of 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jaime | Last name of sampler or witnessed by | Pierson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Camblin Steel Service | 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 | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | CMC Steel Arizona |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | |
| Rebar Size | #6 | Coupler Model | Griptwist |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | A204229 | Rebar Heat Number(s) | 4104323 |
| 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: 2021-02-12-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-02-12-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-02-12-1-3 CTM 670-December 2013 (Verified)
