Sample Record for 2020-07-09-3
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 99999 DEA: 0322222
QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2020-07-09-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Verification
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 07/09/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/09/2020
The quantity of what the sample constitutes: 222
A brief description of the sample: test 1
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Test Only
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: 777777
Coupler Manufacturer: 777777
Intermediate Assembler or Fabricator: 777777
Rebar Size: #7
Coupler Model: 777777
Coating Standards: ASTM A884 epoxy
Shape of Rebar: Hoop
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): 423234,324
Rebar Heat Number(s): 777777
Rebar Size 2 : 6
Coupler Unique ID:
Test Results
