Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2019-05-08-13
Sample is locked from editing. info
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 | 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 | 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
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)
