Sample Record

DIME Sample ID 2026-03-06-6

Project Information

Project IdentifiersProject ID: 1001910
DEA: 044X5304
EFIS: 0426000087
DIST-CO-RTE-PM04-NAP-29-23.54/23.54
Award Date10/15/2025
Closeout DateNot set
Work DescriptionREMOVE AND EXISTING CULVERT AND REPLACE WITH CAST IN PLACE BOX CULVERT AND REPAIR ROADWAY REPLACE CULVERT AND REPAIR ROADWAY
Location DescriptionIN NAPA CO. HWY 29 PM 23.54
QA Service Level1 (Verified on 01/16/2026)

Owner Labs

  • CT D04 - Fairfield Construction Field Office 59-545
  • CT HQ - Sacramento Structural Materials Testing Laboratory

Sample Information

Sample Taken Date03/06/2026 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing03/06/2026 Sample typeQuality Assurance
A brief description of the sample#4 Form Saver The quantity of what the sample constitutes8
From where was the sample collectedJob Site First name of sampler or witnessed byAngelo
Last name of sampler or witnessed byPerez Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namenVent Lenton Form Savers
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 TestingAuthorization Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerNucor
Coupler ManufacturernVent Lenton Intermediate Assembler or Fabricator
Rebar Size#4 Coupler ModelLENTON FORM SAVER
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)4100000273 Rebar Heat Number(s)4100000273
Rebar Size 2 Coupler Unique IDST-17-05

Submitted Tests

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