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 Identifiers | Project ID: 214422 DEA: 040J6424 EFIS: 0414000476 |
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DIST-CO-RTE-PM | 04-SON-101-32.8/R54.2 |
Award Date | 12/24/2019 |
Closeout Date | Not set |
Work Description | CRACK, SEAT AND OVERLAY WITH RHMA AND HMA, AND REPLACE CULVERTS. |
Location Description | SONOMA COUNTY AT VARIOUS LOCATIONS FROM LIMERICK LANE OVERCROSSING TO ROUTE 101/128 SEPARATION |
QA Service Level | 1 (Verified on 09/23/2019) |
Sample Information
Sample Taken Date | 06/25/2020 | Sample Unique Key | 1 |
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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 | 07/29/2020 |
Sample type | Quality Assurance | A brief description of the sample | Mechanical Couplers |
The quantity of what the sample constitutes | 38 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Lanz |
Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 707 208-5241 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Camblin Steel Service | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
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Service or Ultimate | Service | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | CMC |
Coupler Manufacturer | Bar Splice | Intermediate Assembler or Fabricator | |
Rebar Size | #6 | Coupler Model | Grip Twist |
Coating Standards | Uncoated | Shape of Rebar | Straight |
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 ID | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
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)