Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2024-10-11-22

Project Information

Project IdentifiersProject ID: 1000259
DEA: 050N74V4
EFIS: 0522000043
DIST-CO-RTE-PM05-SB-101-9.2/9.7
Award Date02/08/2024
Closeout DateNot set
Work DescriptionNot set
Location DescriptionFOR CONSTRUCTION ON STATE HIGHWAY IN SANTA BARBARA COUNTY AT MONTECITO FROM 0.2 MILE NORTH OF SHEFFIELD DRIVE UNDERCROSSING TO 0.3 MILE SOUTH OF SAN YSIDRO ROAD OVERCROSSING
QA Service Level1 (Verified on 04/15/2024)

Sample Information

Sample Taken Date10/11/2024 Sample Unique Key22
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 testing10/11/2024
Sample typeQuality Assurance A brief description of the sampleLenton form Savers couplers
The quantity of what the sample constitutes4 From where was the sample collectedJob Site
First name of sampler or witnessed byVictor Last name of sampler or witnessed byDELACRUZ
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJob Site Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerLenton Intermediate Assembler or Fabricator
Rebar Size#4 Coupler ModelLenton Formsaver
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)M0182, 20893870 Rebar Heat Number(s)4142733, 4142683
Rebar Size 2 Coupler Unique IDST-17-05

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Test File Attachments