Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2020-12-07-12
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Project Information
| Project Identifiers | Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-7.3/9.6 |
| Award Date | 10/22/2020 |
| Closeout Date | 12/11/2023 |
| Work Description | !!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar, |
| Location Description | SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE |
| QA Service Level | 1 (Verified on 08/24/2020) |
Sample Information
| Sample Taken Date | 12/07/2020 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 12/10/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Lenton form Savers couplers |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Emiliano | Last name of sampler or witnessed by | Berntson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar Erico Lenton | Transportation Laboratory (TL) Number | C760213 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | CMC Rebar |
| Coupler Manufacturer | Erico Lenton | Intermediate Assembler or Fabricator | |
| Rebar Size | #5 | Coupler Model | Erico Lenton Form Savers |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | CMC Rebar | |
| Coupler Component Heat/Lot Number(s) | A1204 | Rebar Heat Number(s) | 3099392 4101758 |
| 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: 2020-12-07-12-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-12-07-12-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2020-12-07-12-3 CTM 670-December 2013 (Verified)