Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2020-09-18-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214426 DEA: 030A5704 EFIS: 0300020593 |
|---|---|
| DIST-CO-RTE-PM | 03-YUB-20-13.3/R18.2 |
| Award Date | 01/02/2020 |
| Closeout Date | Not set |
| Work Description | Browns Valley Rehab: CONSTRUCT BRIDGE, REALIGN CURVE, WIDEN SHOULDERS AND CULVERT WORK. |
| Location Description | YUBA COUNTY FROM MARYSVILLE ROAD TO THE YUBA RIVER BRIDGE |
| QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
| Sample Taken Date | 09/18/2020 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | # 5 double barrel Zap screwlok |
| The quantity of what the sample constitutes | 1 Lot of 150 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Gramlick |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 7076495471 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Steel Goup | 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 |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Cascade Steel |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | |
| Rebar Size | #5 | Coupler Model | Double Barrel Zap Screwlok |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 0147 | Rebar Heat Number(s) | 133820 |
| 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. | |||