Sample Record

Owner Lab

  • Caltrans Vallejo Field Laboratory

DIME Sample ID 2019-03-14-4

Project Information

Project IdentifiersProject ID: 211235
DEA: 054482U4
EFIS: 0500000543
DIST-CO-RTE-PM05-SB-101-2.2/3.3
Award Date06/20/2016
Closeout Date08/23/2021
Work DescriptionBUILD AND RECONSTRUCT BRIDGES, CONSTRUCT RAMPS AND FRONTAGE ROAD.
Location DescriptionSANTA BARBARA COUNTY IN CARPINTERIA FROM 0.2 MILE SOUTH OF CARPINTERIA CREEK BRIDGE TO FRANKLIN CREEK BRIDGE
QA Service Level1 (Verified on 07/27/2016)

Sample Information

Sample Taken Date03/14/2019 Sample Unique Key4
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sampleCouplers
The quantity of what the sample constitutes150 From where was the sample collectedFabricator
First name of sampler or witnessed byEd Last name of sampler or witnessed byFleming
Title of samplerTET Telephone number of sampler707-310-2029
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHarris Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB10-113-19 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerNucor
Coupler Manufacturerzap Intermediate Assembler or FabricatorHarris Rebar
Rebar Size10 Coupler ModelZap
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)MM18103576 Code ED Rebar Heat Number(s)3500004803
Rebar Size 2

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.