Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2018-06-29-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212741 DEA: 020E1804 EFIS: 0200000022 |
|---|---|
| DIST-CO-RTE-PM | 02-PLU-89-29.8/30.2 |
| Award Date | 12/13/2017 |
| Closeout Date | 12/17/2021 |
| Work Description | BRIDGE REPLACEMENT |
| Location Description | PLUMAS COUNTY NEAR CANYON DAM FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF LAKE ALMANOR SPILLWAY |
| QA Service Level | 1 (Verified on 12/06/2017) |
Sample Information
| Sample Taken Date | 06/29/2018 | Sample Unique Key | 2 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Department Acceptance | A brief description of the sample | 10 HRC 500/510 couplers |
| The quantity of what the sample constitutes | 150 splices | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Holck |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 9166620354 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ConFab Lathrop | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | 931426 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | CMC |
| Coupler Manufacturer | HRC USA | Intermediate Assembler or Fabricator | Confab Lathrop |
| Rebar Size | 10 | Coupler Model | HRC 500 510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | Lot 1 | Rebar Heat Number(s) | 4073764 |
| Rebar Size 2 | Not set | Coupler Unique ID | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||