Sample Record

Owner Lab

  • CT SC - 3665 - West Sacramento

DIME Sample ID 2020-09-22-1

Project Information

Project IdentifiersProject ID: 213411
DEA: 030H10U4
EFIS: 0317000246
DIST-CO-RTE-PM03-SAC-5-9.7/24.9
Award Date05/01/2019
Closeout Date02/22/2024
Work DescriptionNot set
Location DescriptionConstruction on state highway in Sacramento County in and near Sacramento from 1.1 miles south of Elk Grove Boulevard to American River Viaduct
QA Service Level1 (Verified on 07/19/2019)

Sample Information

Sample Taken Date09/22/2020 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 testing09/22/2020
Sample typeAcceptance A brief description of the sample#11 Grip-Twist Coupler
The quantity of what the sample constitutes150 Couplers From where was the sample collectedJob Site
First name of sampler or witnessed bySaid Last name of sampler or witnessed byAnam
Title of samplerASR Telephone number of sampler916-502-7582
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBarSplice Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameBeach Lake Bridge

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCamblin Steel
Coupler ManufacturerBarSplice Products Inc Intermediate Assembler or Fabricator
Rebar Size#11 Coupler ModelBarsplice Taper Grip-Twist
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)1 Rebar Heat Number(s)3095554
Rebar Size 2 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments