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Sample Record for 2021-10-25-2

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Project Information

Project ID: 212252 DEA: 033F5604 EFIS: 0313000033 QA Service Level: 1
DIST-CO-RTE-PM: 03-SUT,YUB-20-17.0/17.1,0.0/0.4
Work Description: INSTALL CAST-IN-STEEL SHELL CONCRETE PILE.
Location Description: SUTTER AND YUBA COUNTIES IN YUBA CITY AND MARYSVILLE AT THE FEATHER RIVER BRIDGE AND OVERHEAD
Contractor Name: CALIFORNIA ENGINEERING CONTRACTORS, INC.
Contractor Address: 20 HAPPY VALLEY ROAD, PLEASANTON CA 94566
Resident Engineer: Selvendran Manoharan Structure Rep.: Brent Bullard

Sample Information

DIME Sample ID: 2021-10-25-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 10/25/2021
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 150
A brief description of the sample: 555 HRC T-heads
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Conco Reinforcing Benicia

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: HRC
Coupler Manufacturer: HRC
Intermediate Assembler or Fabricator: Conco
Rebar Size: #7
Coupler Model: 555
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 1232
Rebar Heat Number(s): 1212
Rebar Size 2 : 7
Coupler Unique ID:

Test Results