Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-05-05-1
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Project Information
| Project Identifiers | Project ID: 211854 DEA: 043G0804 EFIS: 0400021272 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-1-30.5 |
| Award Date | 01/20/2017 |
| Closeout Date | 02/27/2019 |
| Work Description | CONSTRUCT ROADWAY AND SOIL NAIL WALLS |
| Location Description | SONOMA COUNTY NEAR FORT ROSS AT 2.6 MILES SOUTH OF FORT ROSS ROAD |
| QA Service Level | 1 (Verified on 03/13/2017) |
Sample Information
| Sample Taken Date | 05/05/2017 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 05/09/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy coated coupler, Grade 75 |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ken | Last name of sampler or witnessed by | Varela |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | (213) 620-2341 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Williams Form | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L08-039-17 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A615 |
| Material Grade | 60 | Rebar Manufacturer | unknown |
| Coupler Manufacturer | Williams Form | Intermediate Assembler or Fabricator | Eaton Steel Bar Co |
| Rebar Size | No. 8 | Coupler Model | unknown |
| Coating Standards | ASTM A934 | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Unknown | Rebar Hoop Fabricator | Unknown |
| Coupler Component Heat/Lot Number(s) | unknown | Rebar Heat Number(s) | unknown |
| Rebar Size 2 | Not set | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-05-05-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2017-05-05-1-2 ASTM A775-07b-re14 (Verified)