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Sample Record for 2020-09-28-15

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: 2020-09-28-15
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 09/28/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/28/2020
The quantity of what the sample constitutes: 16 splices
A brief description of the sample: Dextra T-Head
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Myers and Sons Construction

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC Steel California
Coupler Manufacturer: Dextra
Intermediate Assembler or Fabricator:
Rebar Size: #8
Coupler Model: Bartec End Anchor
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): MM18102011
Rebar Heat Number(s): 3096949
Rebar Size 2 :

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.