DIME - Sample Record for DIME Sample ID 2019-05-08-13

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CT HQ - QASI Sacramento Field Office

DIME Sample ID 2019-05-08-13

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Project Information

Project Identifiers	Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670
DIST-CO-RTE-PM	12-ORA-405,73,405,605-9.3/24.3
Award Date	11/07/2016
Closeout Date	Not set
Work Description	(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location Description	Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level	1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date	05/08/2019	Sample Unique Key	13
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	05/09/2019
Sample type	Department Acceptance	A brief description of the sample	D101 and D101A Bar Splice
The quantity of what the sample constitutes	500	From where was the sample collected	Fabricator
First name of sampler or witnessed by	James	Last name of sampler or witnessed by	Doe
Title of sampler	QA Inspectopr	Telephone number of sampler	(530) 604-0172
Laboratory sample identification		Linked DIME Sample ID
The fabricator/manufacturer/facility name	Dayton Superior	Transportation Laboratory (TL) Number	C926381
Inspector Lot Number from the Transportation Laboratory (TL) Form	S50-004-19	Structure unique identifier
Structure name

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	Dayton Superior	Intermediate Assembler or Fabricator	Dayton Superior
Rebar Size	6	Coupler Model	D101A
Coating Standards	Uncoated	Shape of Rebar	Straight
Rebar Hoop Diameter	Unknown	Rebar Hoop Fabricator	Unknown
Coupler Component Heat/Lot Number(s)	Ht 35400003924 / Lot 350000392420	Rebar Heat Number(s)	3500003960, 35400003924
Rebar Size 2	6	Coupler Unique ID	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Submitted By	Verified?	Release Date	Test Comments
2019-05-08-13-1	CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	05/15/2019	Brian	Yes	05/23/2019	Service Splice
2019-05-08-13-2	CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	05/15/2019	Brian	Yes	05/23/2019	Service Splice
2019-05-08-13-3	CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	05/15/2019	Brian	Yes	05/23/2019	Service Splice
2019-05-08-13-4	CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	05/15/2019	Brian	Yes	05/23/2019	Service Splice
2019-05-08-13-5	CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	05/15/2019	Brian	Yes	05/23/2019	Service Splice
2019-05-08-13-6	CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	05/15/2019	Brian	Yes	05/23/2019	Service Splice
2019-05-08-13-7	CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	05/15/2019	Brian	Yes	05/23/2019	Service Splice
2019-05-08-13-8	CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	05/15/2019	Brian	Yes	05/23/2019	Service Splice
2019-05-08-13-9	CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)	Brian, CT HQ - Sacramento Structural Materials Testing Laboratory	05/15/2019	Brian	Yes	05/23/2019	Service Splice

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2019-05-08-13-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-05-08-13-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-05-08-13-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-05-08-13-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-05-08-13-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-05-08-13-6 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-05-08-13-7 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-05-08-13-8 CTM 670-December 2013 (Verified)
DIME Test ID: 2019-05-08-13-9 CTM 670-December 2013 (Verified)