Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2020-09-18-26

Project Information

Project IdentifiersProject ID: 214426
DEA: 030A5704
EFIS: 0300020593
DIST-CO-RTE-PM03-YUB-20-13.3/R18.2
Award Date01/02/2020
Closeout DateNot set
Work DescriptionBrowns Valley Rehab: CONSTRUCT BRIDGE, REALIGN CURVE, WIDEN SHOULDERS AND CULVERT WORK.
Location DescriptionYUBA COUNTY FROM MARYSVILLE ROAD TO THE YUBA RIVER BRIDGE
QA Service Level1 (Verified on 10/23/2019)

Sample Information

Sample Taken Date09/18/2020 Sample Unique Key26
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sample# 6 double barrel Zap screwlok
The quantity of what the sample constitutes1 Lot of 150 From where was the sample collectedFabricator
First name of sampler or witnessed byJason Last name of sampler or witnessed byGramlick
Title of samplerAssociate Steel Inspector Telephone number of sampler7076495471
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Steel Goup 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 ManufacturerCascade Steel
Coupler ManufacturerBarSplice Intermediate Assembler or Fabricator
Rebar Size#6 Coupler ModelDouble Barrel Zap Screwlok
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)0022 Rebar Heat Number(s)350008586
Rebar Size 2

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.