Sample Record
DIME Sample ID 2021-05-21-2
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Project Information
| Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
| Award Date | 04/21/2020 |
| Closeout Date | 12/02/2025 |
| Work Description | Panther Creek & Hunter Creek Bridges |
| Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
| QA Service Level | 1 (Verified on 03/02/2020) |
Owner Lab
- CT HQ - QASI Sacramento Field Office
Sample Information
| Sample Taken Date | 05/21/2021 | Sample Unique Key | 2 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 05/21/2021 | Sample type | Quality Control |
| A brief description of the sample | Dayton Superior D101 Form Savers | The quantity of what the sample constitutes | 44 |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Sherri |
| Last name of sampler or witnessed by | Brannon | Title of sampler | QA Inspector |
| Telephone number of sampler | 916-826-6371 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | PJs Rebar | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | B22--035-21 | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Nucor |
| Coupler Manufacturer | Dayton Superior | Intermediate Assembler or Fabricator | PJs Rebar |
| Rebar Size | #4 | Coupler Model | D101 Form Savers |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | x | Rebar Heat Number(s) | 0650015352 |
| Rebar Size 2 | 4 | Coupler Unique ID | Not set |
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. | |||