Sample Record

DIME Sample ID 2018-06-29-3

Project Information

Project IdentifiersProject ID: 212741
DEA: 020E1804
EFIS: 0200000022
DIST-CO-RTE-PM02-PLU-89-29.8/30.2
Award Date12/13/2017
Closeout Date12/17/2021
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionPLUMAS COUNTY NEAR CANYON DAM FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF LAKE ALMANOR SPILLWAY
QA Service Level1 (Verified on 12/06/2017)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date06/29/2018 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeDepartment Acceptance
A brief description of the samplesize10 HRC 500-510 coupler The quantity of what the sample constitutes150 splices
From where was the sample collectedFabricator First name of sampler or witnessed byBrian
Last name of sampler or witnessed byHolck Title of samplerCT METS QA INSPECTOR
Telephone number of sampler9166620354 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameConfab Lathrop
Transportation Laboratory (TL) Number931428 Inspector Lot Number from the Transportation Laboratory (TL) FormS44-018-18
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerHRC USA Intermediate Assembler or FabricatorConfab Lathrop
Rebar Size10 Coupler ModelHRC 500 510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)75069594 / 2 Rebar Heat Number(s)4073764
Rebar Size 2 Not set Coupler Unique IDNot set

Submitted Tests

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