Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-09-15-27
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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) |
Sample Information
| Sample Taken Date | 09/15/2021 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 09/23/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #6 D101/ D101A 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 | Bryan | Last name of sampler or witnessed by | Keene |
| Title of sampler | SR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | PJs Rebar | Transportation Laboratory (TL) Number | C709429 |
| 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 | Dayton Superior | Intermediate Assembler or Fabricator | |
| Rebar Size | #6 | Coupler Model | D101/ D101A |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 3500018163 | Rebar Heat Number(s) | 3500018163 |
| 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: 2021-09-15-27-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-09-15-27-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-09-15-27-3 CTM 670-December 2013 (Verified)