Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2020-05-11-1
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Project Information
| Project Identifiers | Project ID: 213229 DEA: 050A0504 EFIS: 0500000007 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-1-15.6 |
| Award Date | 12/14/2018 |
| Closeout Date | 08/17/2022 |
| Work Description | BRIDGE REPLACEMENT, RETAINING WALL AND FISH PASSAGE. |
| Location Description | SANTA BARBARA COUNTY NEAR LOMPOC AT SALSIPUEDES CREEK BRIDGE |
| QA Service Level | 1 (Verified on 03/23/2018) |
Sample Information
| Sample Taken Date | 05/11/2020 | 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 | 05/14/2020 |
| Sample type | Department Acceptance | A brief description of the sample | #5 Bar-Lock Mechanical Couplers |
| The quantity of what the sample constitutes | 30 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jamie | Last name of sampler or witnessed by | Doe |
| Title of sampler | QA Inspector | Telephone number of sampler | (916) 838-4405 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Steel Goup | Transportation Laboratory (TL) Number | C970819 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S50-022-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Nucor |
| Coupler Manufacturer | Dayton Supior Corp | Intermediate Assembler or Fabricator | Pacific Steel Group |
| Rebar Size | #5 | Coupler Model | D250 Bar Lock L-Series Type 2 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Unknown | Rebar Hoop Fabricator | Unknown |
| Coupler Component Heat/Lot Number(s) | heat - MM18108718,A195032 Lot - 179538 | Rebar Heat Number(s) | 3500008748 |
| 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: 2020-05-11-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-05-11-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-05-11-1-3 CTM 670-December 2013 (Verified)