Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-07-21-13
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215126 DEA: 010G33U4 EFIS: 0120000002 |
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DIST-CO-RTE-PM | 01-LAK-20-5.1/6.3 |
Award Date | 11/19/2020 |
Closeout Date | 10/07/2022 |
Work Description | Widen shoulders and replace bridge with box culvert. |
Location Description | LAKE COUNTY NEAR UPPER LAKE FROM 0.4 MILE WEST OF WITTER SPRINGS ROAD TO 0.4 MILE EAST OF BACHELOR CREEK BRIDGE |
QA Service Level | 1 (Verified on 08/26/2020) |
Sample Information
Sample Taken Date | 07/21/2021 | Sample Unique Key | 13 |
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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 | 07/22/2021 |
Sample type | Quality Assurance | A brief description of the sample | #4 barsplice grip-twist couplers |
The quantity of what the sample constitutes | 424 sets | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
Title of sampler | Associate Steel Inspector | Telephone number of sampler | 510-376-7155 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Camblin Benicia CMC Barsplice | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-018-21 | Structure unique identifier | |
Structure name | wall |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
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Service or Ultimate | Service | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | CMC Steel Arizona |
Coupler Manufacturer | Bar Splice Products | Intermediate Assembler or Fabricator | Camblin Steel Services Inc |
Rebar Size | #4 | Coupler Model | Taper Grip-Twist |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
Coupler Component Heat/Lot Number(s) | 201646 | Rebar Heat Number(s) | 4107051 |
Rebar Size 2 | 4 | 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: 2021-07-21-13-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-07-21-13-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-07-21-13-3 CTM 670-December 2013 (Verified)