Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2025-01-21-2
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Project Information
| Project Identifiers | Project ID: 212470 DEA: 044A1304 EFIS: 0400001106 COOP: 042718 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-101-18.5/18.5 |
| Award Date | 11/17/2023 |
| Closeout Date | Not set |
| Work Description | CONSISTS OF MODIFICATION AND RECONSTRUCTION OF THE EXISTING US 101/HEARN AVENUE INTERCHANGE IN SONOMA COUNTY, INCLUDING REPLACING THE EXISTING TWO-LANE HEARN AVENUE OVERCROSSING WITH A NEW OVERCROSSING, AND MODIFYING THE SOUTHBOUND OFF-RAMP IN CITY |
| Location Description | IN SONOMA COUNTY. |
| QA Service Level | 1 (Verified on 09/23/2019) |
Sample Information
| Sample Taken Date | 01/21/2025 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 01/21/2025 |
| Sample type | Quality Assurance | A brief description of the sample | #10 Erico Male Taper w/D14 Terminator |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Levi | Last name of sampler or witnessed by | Pivoda |
| Title of sampler | Telephone number of sampler | 9152961871 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Martinez Steel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | 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 A706 |
| Material Grade | 60 | Rebar Manufacturer | Cascade Steel |
| Coupler Manufacturer | Erico Lenton | Intermediate Assembler or Fabricator | |
| Rebar Size | #10 | Coupler Model | Lenton |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 5395930 / A234489 | Rebar Heat Number(s) | 056524 |
| Rebar Size 2 | 10 | Coupler Unique ID | ST-18-02 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||