Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2021-07-16-7

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 213653
DEA: 044G8204
EFIS: 0413000049
DIST-CO-RTE-PM04-MRN-101-10.6/10.8
Award Date05/05/2020
Closeout Date08/14/2023
Work DescriptionREPLACE SAN RAFAEL HARBOR BRIDGE (ABC)
Location DescriptionMARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET
QA Service Level1 (Verified on 05/31/2019)

Sample Information

Sample Taken Date07/16/2021 Sample Unique Key7
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 testing07/19/2021
Sample typeQuality Assurance A brief description of the sample#5 Bar-Lock Couplers
The quantity of what the sample constitutes4 ea From where was the sample collectedFabricator
First name of sampler or witnessed byRyan Last name of sampler or witnessed byParr
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAlta Group Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB373-075-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerDayton Superior Intermediate Assembler or Fabricator
Rebar Size#5 Coupler ModelD250L Bar Lock
Coating StandardsASTM A775 epoxy Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)A195032 Rebar Heat Number(s)4103336, 4106572
Rebar Size 2 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-16-7-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory07/19/2021fsaylor
Yes
07/20/2021Service Splice
2021-07-16-7-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory07/19/2021fsaylor
Yes
07/20/2021Service Splice
2021-07-16-7-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylor, CT HQ - Sacramento Structural Materials Testing Laboratory07/19/2021fsaylor
Yes
07/20/2021Service Splice

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-07-16-7-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-07-16-7-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-07-16-7-3 CTM 670-December 2013 (Verified)