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 IdentifiersProject ID: 215126
DEA: 010G33U4
EFIS: 0120000002
DIST-CO-RTE-PM01-LAK-20-5.1/6.3
Award Date11/19/2020
Closeout Date10/07/2022
Work DescriptionWiden shoulders and replace bridge with box culvert.
Location DescriptionLAKE COUNTY NEAR UPPER LAKE FROM 0.4 MILE WEST OF WITTER SPRINGS ROAD TO 0.4 MILE EAST OF BACHELOR CREEK BRIDGE
QA Service Level1 (Verified on 08/26/2020)

Sample Information

Sample Taken Date07/21/2021 Sample Unique Key13
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 testing07/22/2021
Sample typeQuality Assurance A brief description of the sample#4 barsplice grip-twist couplers
The quantity of what the sample constitutes424 sets From where was the sample collectedFabricator
First name of sampler or witnessed byGreg Last name of sampler or witnessed byThompson
Title of samplerAssociate Steel Inspector Telephone number of sampler510-376-7155
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCamblin Benicia CMC Barsplice Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB9-018-21 Structure unique identifier
Structure namewall

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC Steel Arizona
Coupler ManufacturerBar Splice Products Intermediate Assembler or FabricatorCamblin Steel Services Inc
Rebar Size#4 Coupler ModelTaper Grip-Twist
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)201646 Rebar Heat Number(s)4107051
Rebar Size 2 4 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-07-21-13-1CTM 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 Laboratory07/22/2021fsaylor
Yes
07/22/2021OK Necking
2021-07-21-13-2CTM 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 Laboratory07/22/2021fsaylor
Yes
07/22/2021OK Necking
2021-07-21-13-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)<None>, CT HQ - Sacramento Structural Materials Testing Laboratory07/22/2021<None>
Yes
07/22/2021OK Necking

Sample File Attachments

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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)