Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-03-19-14
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Project Information
| Project Identifiers | Project ID: 214909 DEA: 120N8604 EFIS: 1214000123 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-73-23.7/24.1 |
| Award Date | 06/25/2020 |
| Closeout Date | 01/09/2023 |
| Work Description | REPLACE STRUCTURAL CONCRETE BRIDGE & RETAINING WALL; & PLACE HMA. |
| Location Description | ORANGE COUNTY IN NEWPORT BEACH FROM 0.3 MILE NORTH OF BISON AVENUE TO 0.3 MILE SOUTH OF UNIVERSITY DRIVE |
| QA Service Level | 1 (Verified on 07/21/2020) |
Sample Information
| Sample Taken Date | 03/19/2021 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 04/01/2021 |
| 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 | Rolin | Last name of sampler or witnessed by | Gonzalez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | HRC | Transportation Laboratory (TL) Number | C905077 |
| 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 | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | CMC |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | |
| 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) | 7318782 74117089 | Rebar Heat Number(s) | 3098852 |
| 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: 2021-03-19-14-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-03-19-14-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-03-19-14-3 CTM 670-December 2013 (Verified)