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 IdentifiersProject ID: 215063
DEA: 032F5704
EFIS: 0300020615
DIST-CO-RTE-PM03-PLA-80-46.3/63.5
Award Date09/23/2020
Closeout Date08/11/2023
Work DescriptionReplace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay)
Location DescriptionNot set
QA Service Level1 (Verified on 11/16/2020)

Sample Information

Sample Taken Date05/18/2021 Sample Unique Key6
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 testing05/19/2021
Sample typeQuality Assurance A brief description of the sample#10 HRC 500/510 Couplers
The quantity of what the sample constitutes128 From where was the sample collectedFabricator
First name of sampler or witnessed byJamie Last name of sampler or witnessed byDoe
Title of samplerCT METS QA INSPECTOR Telephone number of sampler916-838-4505
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCamblin Steel Service Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS50-024-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerNucor
Coupler ManufacturerHRC Gerdau Intermediate Assembler or FabricatorCamblin Steel Services Inc
Rebar Size#10 Coupler ModelHRC 500/510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)73118523 73118000 Rebar Heat Number(s)3500008747
Rebar Size 2 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-18-6-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory05/21/2021bewing
Yes
05/25/2021Ok necking
2021-05-18-6-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory05/21/2021bewing
Yes
05/25/2021Ok necking
2021-05-18-6-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewing, CT HQ - Sacramento Structural Materials Testing Laboratory05/21/2021bewing
Yes
05/25/2021Ok necking

Sample File Attachments

File NameExtensionDate UploadedActions
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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)