Sample Record

Owner Lab

  • CT QASI - Sacramento Field Laboratory

DIME Sample ID 2020-06-30-3

Sample is locked from editing.

Project Information

Project IdentifiersProject ID: 214511
DEA: 010E0004
EFIS: 0113000091
DIST-CO-RTE-PM01-HUM-101-84.4/84.8
Award Date01/29/2020
Closeout DateNot set
Work DescriptionBRIDGE RAIL REPLACEMENT.
Location DescriptionHUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE
QA Service Level1 (Verified on 11/13/2019)

Sample Information

Sample Taken Date06/30/2020 Sample Unique Key3
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 testing06/30/2020
Sample typeQuality Assurance A brief description of the sample#5 Lenton Formsaver Coupler
The quantity of what the sample constitutes2 lots of 4 formsaver assemblies From where was the sample collectedJob Site
First name of sampler or witnessed byJaime Last name of sampler or witnessed byPierson
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCon-Fab California Corporation Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerErico Intermediate Assembler or FabricatorUnknown
Rebar Size#5 Coupler ModelFS5FES
Coating StandardsASTM A775 epoxy Shape of RebarStraight
Rebar Hoop DiameterUnknown Rebar Hoop FabricatorUnknown
Coupler Component Heat/Lot Number(s)8298218 Rebar Heat Number(s)6014006
Rebar Size 2

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-30-3-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/01/2020fsaylor
Yes
07/01/2020Service Splice
2020-06-30-3-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/01/2020fsaylor
Yes
07/01/2020Service Splice
2020-06-30-3-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory07/01/2020fsaylor
Yes
07/01/2020Service Splice

Test Card Drafts

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