Sample Record

DIME Sample ID 2023-08-21-7

Project Information

Project IdentifiersProject ID: 993856
DEA: 042J7304
EFIS: 0415000004
DIST-CO-RTE-PM04-SM-101-6.7/7.6
Award Date03/20/2023
Closeout DateNot set
Work DescriptionSM 101 Cordilleras Crk Br Replacement
Location DescriptionNot set
QA Service Level1 (Verified on 06/27/2022)

Owner Lab

  • CT SC - 3674 - Pacifica 2

Sample Information

Sample Taken Date08/21/2023 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testing08/22/2023 Sample typeQuality Assurance
A brief description of the sampleSplice test samples The quantity of what the sample constitutes12 sample splices representing 3 lots
From where was the sample collectedJob Site First name of sampler or witnessed bySeyoum
Last name of sampler or witnessed byWorkenh Title of samplerASR
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameDayton Superior/CNC Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier35-0365 Structure nameCordilleras Creek Bridge
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerDayton Superior Intermediate Assembler or Fabricator
Rebar Size#8 Coupler ModelBar-Lock D250L
Coating StandardsASTM A934 epoxy Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)4000012990, 4000003591, 4000005513, 400000550 Rebar Heat Number(s)4127190, 6042835,
Rebar Size 2 9 Coupler Unique IDSL-17-06

Submitted Tests

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