Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-10-15-1
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Project Information
| Project Identifiers | Project ID: 215255 DEA: 040A7714 EFIS: 0420000287 |
|---|---|
| DIST-CO-RTE-PM | 04-ALA-80-6.4-6.6 |
| Award Date | 05/03/2021 |
| Closeout Date | 12/01/2023 |
| Work Description | CONSTRUCT PEDESTRIAN OVERCROSSING BRIDGE AND RETAINING WALLS. GILMAN INTERCHANGE IMPROVEMENTS |
| Location Description | ALAMEDA COUNTY IN BERKELEY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.1 MILE SOUTH OF GILMAN STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/07/2020) |
Sample Information
| Sample Taken Date | 10/15/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 10/19/2021 |
| Sample type | Quality Assurance | A brief description of the sample | size #14 HRC 510/500 couplers |
| The quantity of what the sample constitutes | 100 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Carpenter |
| Title of sampler | QA | Telephone number of sampler | 14156081742 |
| Laboratory sample identification | 73118000, 74121241 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-085-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | CMC |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | CNC Rebar |
| Rebar Size | #14 | Coupler Model | HRC 500 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 73118000, 74121241 | Rebar Heat Number(s) | 3101019 |
| Rebar Size 2 | 14 | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-10-15-1-2 CTM 670-December 2013 (Verified)