Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-03-10-1
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Project Information
| Project Identifiers | Project ID: 213764 DEA: 080F0304 EFIS: 0800020358 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-60-R0.7/R3.0 |
| Award Date | 03/07/2019 |
| Closeout Date | 07/27/2023 |
| Work Description | REMOVE AND REPLACE THREE OVERCROSSING BRIDGES ON ROUTE 60 |
| Location Description | IN SAN BERNARDINO COUNTY IN AND NEAR CHINO AT VARIOUS LOCATIONS FROM O.1 MILE WEST OF PIPELINE AVENUE OVERCROSSING TO 0.1 MILE EAST OF BENSON AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 05/01/2019) |
Sample Information
| Sample Taken Date | 03/10/2021 | 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 | 03/11/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #5 Zap Screwlock Couplers |
| The quantity of what the sample constitutes | 100 couplers | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Rodrigo | Last name of sampler or witnessed by | Santacruz |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Sema Construction | 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 | Nucor |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | |
| Rebar Size | #5 | Coupler Model | Zap Screwlok |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | A193451 | Rebar Heat Number(s) | 1202021551 |
| Rebar Size 2 | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-03-10-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-03-10-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-03-10-1-3 CTM 670-December 2013 (Verified)