Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-08-09-5
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Project Information
| Project Identifiers | Project ID: 995240 DEA: 060X3804 EFIS: 0618000060 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-166-0.0/10.2 |
| Award Date | 02/28/2024 |
| Closeout Date | Not set |
| Work Description | COLD PLANE, PLACE HMA AND CONCRETE PAVEMENT, MODIFY DRAINAGE SYSTEM. |
| Location Description | KERN COUNTY IN AND NEAR MARICOPA FROM SOUTH JUNCTION ROUTE 33 TO 2.3 MILES WEST OF SAN EMIGDIO CREEK BRIDGE |
| QA Service Level | 1 (Verified on 04/02/2024) |
Sample Information
| Sample Taken Date | 08/09/2024 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 08/15/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Dayton Superior D101 Form Savers |
| The quantity of what the sample constitutes | 150 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Joseph | Last name of sampler or witnessed by | Buckley |
| Title of sampler | QA Inspector | Telephone number of sampler | 9167163405 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pre-Con | 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 | Dayton Superior | Intermediate Assembler or Fabricator | |
| Rebar Size | #5 | Coupler Model | DB/DI |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 3600035419 | Rebar Heat Number(s) | 3500031012 |
| Rebar Size 2 | Coupler Unique ID | SF-17-01 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-08-09-5-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-09-5-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-08-09-5-3 CTM 670-December 2013 (Verified)