Sample Record
Owner Lab
- CT SC - 3665 - West Sacramento
DIME Sample ID 2020-09-22-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213411 DEA: 030H10U4 EFIS: 0317000246 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-5-9.7/24.9 |
| Award Date | 05/01/2019 |
| Closeout Date | 02/22/2024 |
| Work Description | Not set |
| Location Description | Construction 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 Level | 1 (Verified on 07/19/2019) |
Sample Information
| Sample Taken Date | 09/22/2020 | 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 | 09/22/2020 |
| Sample type | Department Acceptance | A brief description of the sample | #11 Grip-Twist Coupler |
| The quantity of what the sample constitutes | 150 Couplers | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Said | Last name of sampler or witnessed by | Anam |
| Title of sampler | ASR | Telephone number of sampler | 916-502-7582 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | BarSplice | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Beach Lake Bridge |
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 | Camblin Steel |
| Coupler Manufacturer | BarSplice Products Inc | Intermediate Assembler or Fabricator | |
| Rebar Size | #11 | Coupler Model | Barsplice Taper Grip-Twist |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 1 | Rebar Heat Number(s) | 3095554 |
| Rebar Size 2 | Coupler Unique ID | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||