Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-08-09-1
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Project Information
| Project Identifiers | Project ID: 995524 DEA: 021H3604 EFIS: 0216000040 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96-76.8/78.0 |
| Award Date | 03/22/2024 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGE. |
| Location Description | SISKIYOU COUNTY NEAR HORSE CREEK FROM 0.4 MILE WEST OF KLAMATH RIVER BRIDGE TO 2.0 MILES WEST OF KOHL CREEK |
| QA Service Level | 1 (Verified on 12/27/2023) |
Sample Information
| Sample Taken Date | 08/09/2024 | 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 | 08/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 500 510 Couplers |
| The quantity of what the sample constitutes | 8 rebar with Mechanical Couplers | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Alvarez |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar Tracy CA | 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 | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | CMC |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | |
| Rebar Size | #14 | Coupler Model | HRC 500-510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 73130162, 73129190/Lots 1-2 | Rebar Heat Number(s) | 3129862, 3129863 |
| Rebar Size 2 | Coupler Unique ID | TF-17-01 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-08-09-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-09-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-09-1-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-09-1-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-09-1-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-09-1-6 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-09-1-7 CTM 670-December 2013 (Verified)