Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-06-29-14
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Project Information
| Project Identifiers | Project ID: 213337 DEA: 024F5404 EFIS: 0213000004 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-R15.3/R16.5 |
| Award Date | 07/30/2018 |
| Closeout Date | 05/23/2022 |
| Work Description | BRIDGE REPLACEMENT - SOUTHBOUND ONLY |
| Location Description | SISKIYOU COUNTY NEAR WEED FROM 0.1 MILE SOUTH OF DEETZ ROAD UNDERCROSSING TO 0.6 MILE NORTH OF BLACK BUTTE OVERHEAD 02-0004L |
| QA Service Level | 1 (Verified on 11/14/2018) |
Sample Information
| Sample Taken Date | 06/29/2021 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 06/30/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #11 Lenton couplers |
| The quantity of what the sample constitutes | 150 Couplers | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Andy | Last name of sampler or witnessed by | OSullivan |
| Title of sampler | SR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | PSG | 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 | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Nucor |
| Coupler Manufacturer | Lenton | Intermediate Assembler or Fabricator | |
| Rebar Size | #11 | Coupler Model | Lenton STD A2 |
| Coating Standards | ASTM A775 epoxy | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | L9289 | Rebar Heat Number(s) | 1201027613 |
| Rebar Size 2 | 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: 2021-06-29-14-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-06-29-14-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-06-29-14-3 CTM 670-December 2013 (Verified)