Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-05-06-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
| Award Date | 04/21/2020 |
| Closeout Date | 12/02/2025 |
| Work Description | Panther Creek & Hunter Creek Bridges |
| Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 05/06/2021 | 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 | 05/06/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #10 Barlock Coplets |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
| Title of sampler | QA | Telephone number of sampler | 916-826-6371 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | PJs Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B22-031-21 | 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 | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Cascade Steel |
| Coupler Manufacturer | Barlock | Intermediate Assembler or Fabricator | |
| Rebar Size | #10 | Coupler Model | Barlock |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | A200681 | Rebar Heat Number(s) | 150421 |
| Rebar Size 2 | 10 | 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: 2021-05-06-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-05-06-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-05-06-1-3 CTM 670-December 2013 (Verified)
