Sample Record
Owner Lab
- CT SC - 3672 - Novato Field Office
DIME Sample ID 2024-07-18-51
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 993333 DEA: 04264724 EFIS: 0419000068 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-R20.8/27.1 |
| Award Date | 04/26/2022 |
| Closeout Date | Not set |
| Work Description | CIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL. |
| Location Description | MARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE |
| QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
| Sample Taken Date | 07/18/2024 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 07/24/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #9 Lenton |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Bunma | Last name of sampler or witnessed by | Nou |
| Title of sampler | SR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Erico | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 27-0090L | |
| Structure name | FAOH Bridge | 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 | CMC |
| Coupler Manufacturer | Erico | Intermediate Assembler or Fabricator | |
| Rebar Size | #9 | Coupler Model | Lenton T2 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | A233654 / M0186 | Rebar Heat Number(s) | 9001592 |
| Rebar Size 2 | Coupler Unique ID | ST-17-01 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-07-18-51-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-07-18-51-6 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-07-18-51-7 CTM 670-December 2013 (Verified)
