Sample Record
Owner Labs
- CT D04 - Fairfield Construction Field Office 59-545
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2026-03-06-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001910 DEA: 044X5304 EFIS: 0426000087 COOP: NONE |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29-23.54/23.54 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REMOVE AND EXISTING CULVERT AND REPLACE WITH CAST IN PLACE BOX CULVERT AND REPAIR ROADWAY REPLACE CULVERT AND REPAIR ROADWAY |
| Location Description | IN NAPA CO. HWY 29 PM 23.54 |
| QA Service Level | 1 (Verified on 01/16/2026) |
Sample Information
| Sample Taken Date | 03/06/2026 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 03/06/2026 |
| Sample type | Quality Assurance | A brief description of the sample | #4 Form Saver |
| The quantity of what the sample constitutes | 8 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Angelo | Last name of sampler or witnessed by | Perez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | nVent Lenton Form Savers | 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 | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Nucor |
| Coupler Manufacturer | nVent Lenton | Intermediate Assembler or Fabricator | |
| Rebar Size | #4 | Coupler Model | LENTON FORM SAVER |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 4100000273 | Rebar Heat Number(s) | 4100000273 |
| Rebar Size 2 | Coupler Unique ID | ST-17-05 |
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. | |||