Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-06-01-5
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
| Award Date | 04/21/2020 |
| Closeout Date | Not set |
| Work Description | Panther Creek & Hunter Creek Bridges |
| Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 06/01/2023 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 testing | 06/02/2023 |
| Sample type | Quality Assurance | A brief description of the sample | #9 HRC 500/520 couplers |
| The quantity of what the sample constitutes | 28 assemblies | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Thompson |
| Title of sampler | Assoc Steel Inspector | Telephone number of sampler | 510-376-7155 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | PJ's rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B9-095-23 | 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 | CMC |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | PJs rebar |
| Rebar Size | #9 | Coupler Model | 500/520 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| 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 ID | TP-17-06 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
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)