Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-09-23-1
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 212896 DEA: 04160304 EFIS: 0400000429 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-84-13.1/13.5 |
| Award Date | 11/17/2020 |
| Closeout Date | Not set |
| Work Description | NILES CANYON ALAMEDA CREEK BRIDGE REPLACEMENT |
| Location Description | IN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036). |
| QA Service Level | 1 (Verified on 09/16/2019) |
Sample Information
| Sample Taken Date | 09/23/2021 | 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 | 09/27/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #5 HRC 500-520 couplers |
| The quantity of what the sample constitutes | 132 | 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 Inspector | Telephone number of sampler | (916) 826-6371 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | C and N Reinforcing | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B22-094-21 | 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 | CMC |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | C and N Reinforcing |
| Rebar Size | #5 | Coupler Model | 500M/520 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 500-8392421 520-100797418 | Rebar Heat Number(s) | 4109332 |
| Rebar Size 2 | 5 | 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: 2021-09-23-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-09-23-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-09-23-1-3 CTM 670-December 2013 (Verified)
