Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-05-19-3
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Project Information
| Project Identifiers | Project ID: 214795 DEA: 030H3424 EFIS: 0317000153 |
|---|---|
| DIST-CO-RTE-PM | 03-SAC-99-22.6 |
| Award Date | 11/13/2020 |
| Closeout Date | 03/03/2022 |
| Work Description | REPLACE BRIDGE DECK WITH PRESTRESSED CONCRETE BOX GIRDER. |
| Location Description | SACRAMENTO COUNTY IN SACRAMENTO AT 21ST AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 03/12/2020) |
Sample Information
| Sample Taken Date | 05/19/2021 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 05/20/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #6 Lenton form savers |
| The quantity of what the sample constitutes | 3 lots | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jane | Last name of sampler or witnessed by | Lillard |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 916-291-8042 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ConFab | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S52-019-21 | Structure unique identifier | 24-0154 |
| Structure name | 21st Ave Undercrossing |
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 |
| Coupler Manufacturer | Erico | Intermediate Assembler or Fabricator | PTS Masonry at Confab |
| Rebar Size | #6 | Coupler Model | Formsaver |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | Erico heat 201852 lot 9783 and 9809 | Rebar Heat Number(s) | 4105278 4101843 |
| Rebar Size 2 | 6 | 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: 2021-05-19-3-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-05-19-3-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-05-19-3-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-05-19-3-4 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-05-19-3-5 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-05-19-3-6 CTM 670-December 2013 (Verified)