Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2020-06-25-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214422
DEA: 040J6424
EFIS: 0414000476
DIST-CO-RTE-PM04-SON-101-32.8/R54.2
Award Date12/24/2019
Closeout DateNot set
Work DescriptionCRACK, SEAT AND OVERLAY WITH RHMA AND HMA, AND REPLACE CULVERTS.
Location DescriptionSONOMA COUNTY AT VARIOUS LOCATIONS FROM LIMERICK LANE OVERCROSSING TO ROUTE 101/128 SEPARATION
QA Service Level1 (Verified on 09/23/2019)

Sample Information

Sample Taken Date06/25/2020 Sample Unique Key1
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 testing07/29/2020
Sample typeQuality Assurance A brief description of the sampleMechanical Couplers
The quantity of what the sample constitutes38 From where was the sample collectedFabricator
First name of sampler or witnessed byJoe Last name of sampler or witnessed byLanz
Title of samplerCT METS QA INSPECTOR Telephone number of sampler707 208-5241
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCamblin Steel Service Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerBar Splice Intermediate Assembler or Fabricator
Rebar Size#6 Coupler ModelGrip Twist
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)Male Heat A193034 4U2 Female Heat 177527 3 Rebar Heat Number(s)4096694
Rebar Size 2 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-25-1-1CTM 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 Laboratory06/30/2020bewing
Yes
07/01/2020Ok Necking
2020-06-25-1-2CTM 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 Laboratory06/30/2020bewing
Yes
07/01/2020Ok Necking
2020-06-25-1-3CTM 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 Laboratory06/30/2020bewing
Yes
07/01/2020Ok Necking

Sample File Attachments

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Test File Attachments


DIME Test ID: 2020-06-25-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-06-25-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-06-25-1-3 CTM 670-December 2013 (Verified)