Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2024-04-15-5
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Project Information
| Project Identifiers | Project ID: 993141 DEA: 060V1204 EFIS: 0616000207 |
|---|---|
| DIST-CO-RTE-PM | 06-MAD-99-R6.9/R7.6 |
| Award Date | 06/22/2022 |
| Closeout Date | Not set |
| Work Description | Cottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS. |
| Location Description | MADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING |
| QA Service Level | 1 (Verified on 07/28/2021) |
Sample Information
| Sample Taken Date | 04/15/2024 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 04/15/2024 |
| Sample type | Quality Assurance | A brief description of the sample | HRC 500/510 |
| The quantity of what the sample constitutes | 1 lot of 64 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | C&N Reinforcing | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-042-24 | 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 Steel Arizona |
| Coupler Manufacturer | HRC Gerdau | Intermediate Assembler or Fabricator | |
| Rebar Size | #10 | Coupler Model | HRC 500/510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 74132985, 73130586 | Rebar Heat Number(s) | 9001687 |
| Rebar Size 2 | Coupler Unique ID | TP-17-03 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-04-15-5-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-15-5-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-04-15-5-3 CTM 670-December 2013 (Verified)