Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-10-17-6

Project Information

Project IdentifiersProject ID: 1000696
DEA: 061H3304
EFIS: 0625000036
DIST-CO-RTE-PM06---
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 10/14/2024)

Sample Information

Sample Taken Date10/17/2024 Sample Unique Key6
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 testing10/17/2024
Sample typeQuality Assurance A brief description of the sample#10 D250L Coupler
The quantity of what the sample constitutes1 lot From where was the sample collectedOther
First name of sampler or witnessed byTyler Last name of sampler or witnessed byFreeman
Title of samplerAssistant Structure Representative Telephone number of sampler559-696-3263
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameChapco Yard Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier42-0171
Structure nameToulumne Street OC Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerNucor Steel
Coupler ManufacturerDayton Superior Intermediate Assembler or Fabricator
Rebar Size#10 Coupler ModelD250L
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)189153 Rebar Heat Number(s)A210913
Rebar Size 2 Coupler Unique IDSL-17-06

Submitted Tests

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