Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2021-05-18-6
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215063 DEA: 032F5704 EFIS: 0300020615 |
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DIST-CO-RTE-PM | 03-PLA-80-46.3/63.5 |
Award Date | 11/02/2020 |
Closeout Date | Not set |
Work Description | Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay) |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/16/2020) |
Sample Information
Sample Taken Date | 05/18/2021 | Sample Unique Key | 6 |
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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 | 05/19/2021 |
Sample type | Quality Assurance | A brief description of the sample | #10 HRC 500/510 Couplers |
The quantity of what the sample constitutes | 128 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Jamie | Last name of sampler or witnessed by | Doe |
Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 916-838-4505 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Camblin Steel Service | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | S50-024-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
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Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | Nucor |
Coupler Manufacturer | HRC Gerdau | Intermediate Assembler or Fabricator | Camblin Steel Services Inc |
Rebar Size | #10 | Coupler Model | HRC 500/510 |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
Coupler Component Heat/Lot Number(s) | 73118523 73118000 | Rebar Heat Number(s) | 3500008747 |
Rebar Size 2 | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-05-18-6-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-05-18-6-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-05-18-6-3 CTM 670-December 2013 (Verified)