Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-11-22-11
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Project Information
| Project Identifiers | Project ID: 215093 DEA: 101C2804 EFIS: 1014000134 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-99-30.9/31.3 |
| Award Date | 10/21/2020 |
| Closeout Date | 08/30/2023 |
| Work Description | RAISED BRIDGES, REALIGN RAMPS AND CONSTRUCT AUXILIARY LANE. |
| Location Description | SAN JOAQUIN COUNTY IN LODI FROM 0.4 MILE SOUTH OF ROUTE 12/99 SEPARATION TO 0.3 MILE SOUTH OF TURNER ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 08/21/2020) |
Sample Information
| Sample Taken Date | 11/22/2021 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 11/24/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #5 Zap Screwlok Type 2 couplers |
| The quantity of what the sample constitutes | 150 Couplers | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | unknown | Last name of sampler or witnessed by | unknown |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Millennium Reinforcement | Transportation Laboratory (TL) Number | C710255 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Vinton Steel |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | |
| Rebar Size | #5 | Coupler Model | Zap Screwlok Type 2 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 73118353 | Rebar Heat Number(s) | 2111400 |
| Rebar Size 2 | 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: 2021-11-22-11-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-11-22-11-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-11-22-11-3 CTM 670-December 2013 (Verified)