Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2022-11-17-55

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date11/17/2022 Sample Unique Key55
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 testing11/18/2022
Sample typeQuality Assurance A brief description of the sample#4 DBL Barrel Zap Screwlok
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byPhil Last name of sampler or witnessed byLatasa
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC BarSplice Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerBarSplice Intermediate Assembler or Fabricator
Rebar Size#4 Coupler ModelDBL BRL Zap Screwlok
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)1043 Rebar Heat Number(s)6035056
Rebar Size 2 Coupler Unique IDSB-17-02

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-11-17-55-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)spaine, CT HQ - Sacramento Structural Materials Testing Laboratory11/28/2022spaine
Yes
11/28/2022Service Splice
2022-11-17-55-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)spaine, CT HQ - Sacramento Structural Materials Testing Laboratory11/28/2022spaine
Yes
11/28/2022Service Splice
2022-11-17-55-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)spaine, CT HQ - Sacramento Structural Materials Testing Laboratory11/28/2022spaine
Yes
11/28/2022Service Splice

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-11-17-55-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-11-17-55-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2022-11-17-55-3 CTM 670-December 2013 (Verified)