Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2020-04-22-4

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214923
DEA: 081L7104
EFIS: 0820000141
DIST-CO-RTE-PM08-RIV-91-10.29
Award Date04/13/2020
Closeout Date01/14/2021
Work DescriptionBridge Repair
Location DescriptionNot set
QA Service Level1 (Verified on 04/21/2020)

Sample Information

Sample Taken Date04/22/2020 Sample Unique Key4
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 testing04/23/2020
Sample typeQuality Control A brief description of the sampleMechanical Couplers
The quantity of what the sample constitutesLot 1 From where was the sample collectedFabricator
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerASI Telephone number of sampler310-883-8369
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameIntegrity Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL79-018-20 Structure unique identifier
Structure nameBuchanan St OC

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerGerdau
Coupler ManufacturerBarSplice Intermediate Assembler or FabricatorIntegrity Rebar
Rebar Size#11 Coupler ModelZap Screwlok Type 2
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop DiameterNA Rebar Hoop FabricatorNA
Coupler Component Heat/Lot Number(s)MM19103710 Code A188 Rebar Heat Number(s)65028581
Rebar Size 2 11 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-04-22-4-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory04/23/2020bewing
Yes
04/23/2020Service Splice
2020-04-22-4-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory04/23/2020bewing
Yes
04/23/2020Service Splice
2020-04-22-4-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory04/23/2020bewing
Yes
04/23/2020Service Splice

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2020-04-22-4-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-04-22-4-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-04-22-4-3 CTM 670-December 2013 (Verified)