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Sample Record for 2020-09-08-2

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 214176 DEA: 033F0904 EFIS: 0312000056 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC,SJ-5,160-Var
Work Description: REPLACE STRUCTURAL CONCRETE BRIDGES, PLACE CIDH & CISS CONCRETE PILES.
Location Description: SACRAMENTO COUNTY AT NORTH SACRAMENTO UNDERCROSSING AND SACRAMENTO RIVER BRIDGE AND IN SAN JOAQUIN COUNTY AT MOKELUMNE RIVER BRIDGE
Contractor Name: Myers & Sons Construction
Contractor Address: 4600 Northgate Boulevard, Suite 100, Sacramento, CA 95834-1121
Resident Engineer: Mohssen Ghassemi Structure Rep.: Pazzi, Chuck

Sample Information

DIME Sample ID: 2020-09-08-2
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 09/08/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1 Lot of 104
A brief description of the sample: Dextra Bartec Type B Couplers
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Jamac Steel

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC
Coupler Manufacturer: Dextra Bartec
Intermediate Assembler or Fabricator:
Rebar Size: #7
Coupler Model: Bartec Type B
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): Heat No DL12103397 Stamp No BH7MC01AAT2
Rebar Heat Number(s): 4078075
Rebar Size 2 : 7

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.