Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2023-06-01-5

Project Information

Project IdentifiersProject ID: 214579
DEA: 010B0904
EFIS: 0100020444
DIST-CO-RTE-PM01-DN-101-8.2/8.7
Award Date04/21/2020
Closeout DateNot set
Work DescriptionPanther Creek & Hunter Creek Bridges
Location DescriptionDEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
QA Service Level1 (Verified on 03/02/2020)

Sample Information

Sample Taken Date06/01/2023 Sample Unique Key5
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 testing06/02/2023
Sample typeQuality Assurance A brief description of the sample#9 HRC 500/520 couplers
The quantity of what the sample constitutes28 assemblies From where was the sample collectedFabricator
First name of sampler or witnessed byGreg Last name of sampler or witnessed byThompson
Title of samplerAssoc Steel Inspector Telephone number of sampler510-376-7155
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePJ's rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB9-095-23 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 ManufacturerHRC Intermediate Assembler or FabricatorPJs rebar
Rebar Size#9 Coupler Model500/520
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)500- A226600 520- A205153 Rebar Heat Number(s)4124001
Rebar Size 2 9 Coupler Unique IDTP-17-06

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-06-01-5-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)rmacias, CT HQ - Sacramento Structural Materials Testing Laboratory06/05/2023rmacias
Yes
06/08/2023Ok Necking HRC Couplers
2023-06-01-5-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)rmacias, CT HQ - Sacramento Structural Materials Testing Laboratory06/05/2023rmacias
Yes
06/08/2023Ok Necking HRC Couplers
2023-06-01-5-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)rmacias, CT HQ - Sacramento Structural Materials Testing Laboratory06/05/2023rmacias
Yes
06/08/2023Ok Necking HRC Couplers

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-06-01-5-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-06-01-5-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-06-01-5-3 CTM 670-December 2013 (Verified)