Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2021-09-23-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212896
DEA: 04160304
EFIS: 0400000429
DIST-CO-RTE-PM04-ALA-84-13.1/13.5
Award Date12/15/2020
Closeout DateNot set
Work DescriptionNILES CANYON ALAMEDA CREEK BRIDGE REPLACEMENT
Location DescriptionIN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036).
QA Service Level1 (Verified on 09/16/2019)

Sample Information

Sample Taken Date09/23/2021 Sample Unique Key1
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 testing09/27/2021
Sample typeQuality Assurance A brief description of the sample#5 HRC 500-520 couplers
The quantity of what the sample constitutes132 From where was the sample collectedFabricator
First name of sampler or witnessed bySherri Last name of sampler or witnessed byBrannon
Title of samplerQA Inspector Telephone number of sampler(916) 826-6371
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameC and N Reinforcing Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB22-094-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerHRC Intermediate Assembler or FabricatorC and N Reinforcing
Rebar Size#5 Coupler Model500M/520
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)500-8392421 520-100797418 Rebar Heat Number(s)4109332
Rebar Size 2 5 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-23-1-1CTM 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 Laboratory09/30/2021fsaylor
Yes
10/01/2021OK Necking
2021-09-23-1-2CTM 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 Laboratory09/30/2021fsaylor
Yes
10/01/2021OK Necking
2021-09-23-1-3CTM 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 Laboratory09/30/2021fsaylor
Yes
10/01/2021OK Necking

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-09-23-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-09-23-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-09-23-1-3 CTM 670-December 2013 (Verified)