Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2021-05-19-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214795
DEA: 030H3424
EFIS: 0317000153
DIST-CO-RTE-PM03-SAC-99-22.6
Award Date01/06/2021
Closeout DateNot set
Work DescriptionREPLACE BRIDGE DECK WITH PRESTRESSED CONCRETE BOX GIRDER.
Location DescriptionSACRAMENTO COUNTY IN SACRAMENTO AT 21ST AVENUE UNDERCROSSING
QA Service Level1 (Verified on 03/12/2020)

Sample Information

Sample Taken Date05/19/2021 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 testing05/20/2021
Sample typeQuality Assurance A brief description of the sample#6 Lenton form savers
The quantity of what the sample constitutes3 lots From where was the sample collectedFabricator
First name of sampler or witnessed byJane Last name of sampler or witnessed byLillard
Title of samplerCALTRANS METS QA INSPECTOR Telephone number of sampler916-291-8042
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConFab Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS52-019-21 Structure unique identifier24-0154
Structure name21st Ave Undercrossing

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 FabricatorPTS Masonry at Confab
Rebar Size#6 Coupler ModelFormsaver
Coating StandardsUncoated Shape of RebarStraight
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

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-19-3-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewingCT HQ - Sacramento Structural Materials Testing Laboratory05/20/2021bewing
Yes
05/20/2021Service Splice
2021-05-19-3-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewingCT HQ - Sacramento Structural Materials Testing Laboratory05/20/2021bewing
Yes
05/20/2021Service Splice
2021-05-19-3-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewingCT HQ - Sacramento Structural Materials Testing Laboratory05/20/2021bewing
Yes
05/20/2021Service Splice
2021-05-19-3-4CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewingCT HQ - Sacramento Structural Materials Testing Laboratory05/20/2021bewing
Yes
05/20/2021Service Splice
2021-05-19-3-5CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewingCT HQ - Sacramento Structural Materials Testing Laboratory05/20/2021bewing
Yes
05/20/2021Service Splice
2021-05-19-3-6CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)bewingCT HQ - Sacramento Structural Materials Testing Laboratory05/20/2021bewing
Yes
05/20/2021Service Splice