Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2023-01-26-1

Project Information

Project IdentifiersProject ID: 212737
DEA: 060S8304
EFIS: 0615000046
Award Date05/27/2022
Closeout DateNot set
Work DescriptionTUMEY GULCH ABUTMENT REHAB BR# 42-0246L/R.
QA Service Level1 (Verified on 09/25/2018)

Sample Information

Sample Taken Date01/26/2023 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sampleHRC 555 T-Heads
The quantity of what the sample constitutes4 bars From where was the sample collectedFabricator
First name of sampler or witnessed byGreg Last name of sampler or witnessed byThompson
Title of samplerASSOC STEEL INSP Telephone number of sampler510-376-7155 cell
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Steel Group Napa Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB9-004-23 Structure unique identifier
Structure nameTomey Gulch

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerNucor
Coupler ManufacturerHRC Nucor Intermediate Assembler or FabricatorPacific Steel Group
Rebar Size#8 Coupler Modelhrc555
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)17-TH Rebar Heat Number(s)3500024493
Rebar Size 2 Coupler Unique IDNot on AML

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments