Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2018-11-10-1
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Project Information
| Project Identifiers | Project ID: 212573 DEA: 010B5504 EFIS: 0112000137 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-162-16.2 |
| Award Date | 09/28/2017 |
| Closeout Date | 10/05/2020 |
| Work Description | RECONSTRUCT ROADWAY, CONSTRUCT SOLDIER PILE AND TIEBACK WALL |
| Location Description | MENDOCINO COUNTY ON ROUTE 162 1 MILE EAST OF MIDDLE FORK EEL RIVER BRIDGE |
| QA Service Level | 1 (Verified on 10/03/2017) |
Sample Information
| Sample Taken Date | 11/10/2018 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 11/28/2018 |
| Sample type | Quality Assurance | A brief description of the sample | Coupler |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Tom | Last name of sampler or witnessed by | Sayver |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | BarSplice CMC | Transportation Laboratory (TL) Number | C694524 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | NA | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | CMC |
| Coupler Manufacturer | BarSplice | Intermediate Assembler or Fabricator | Unknown |
| Rebar Size | 5 | Coupler Model | Griptwist |
| Coating Standards | ASTM A775 epoxy | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Unknown | Rebar Hoop Fabricator | Unknown |
| Coupler Component Heat/Lot Number(s) | A175856, 188143 | Rebar Heat Number(s) | 4078450 |
| Rebar Size 2 | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-11-10-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2018-11-10-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2018-11-10-1-3 CTM 670-December 2013 (Verified)