Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-07-16-9
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 213653 DEA: 044G8204 EFIS: 0413000049 |
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DIST-CO-RTE-PM | 04-MRN-101-10.6/10.8 |
Award Date | 05/05/2020 |
Closeout Date | 08/14/2023 |
Work Description | REPLACE SAN RAFAEL HARBOR BRIDGE (ABC) |
Location Description | MARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET |
QA Service Level | 1 (Verified on 05/31/2019) |
Sample Information
Sample Taken Date | 07/16/2021 | Sample Unique Key | 9 |
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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 | 07/19/2021 |
Sample type | Quality Assurance | A brief description of the sample | #9 Bar-Lock Couplers |
The quantity of what the sample constitutes | 4 ea | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Alta Group | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-075-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
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Service or Ultimate | Service | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | CMC |
Coupler Manufacturer | Dayton Superior | Intermediate Assembler or Fabricator | |
Rebar Size | #9 | Coupler Model | D250L Bar Lock |
Coating Standards | ASTM A775 epoxy | Shape of Rebar | Straight |
Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
Coupler Component Heat/Lot Number(s) | A200681 | Rebar Heat Number(s) | 3098873 |
Rebar Size 2 | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-07-16-9-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-07-16-9-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-07-16-9-3 CTM 670-December 2013 (Verified)