Sample Record

Owner Lab

  • Caltrans Vallejo Field Laboratory

DIME Sample ID 2021-10-25-1

Project Information

Project IdentifiersProject ID: 212252
DEA: 033F5604
EFIS: 0313000033
DIST-CO-RTE-PM03-SUT,YUB-20-17.0/17.1,0.0/0.4
Award Date02/11/2021
Closeout DateNot set
Work DescriptionINSTALL CAST-IN-STEEL SHELL CONCRETE PILE.
Location DescriptionSUTTER AND YUBA COUNTIES IN YUBA CITY AND MARYSVILLE AT THE FEATHER RIVER BRIDGE AND OVERHEAD
QA Service Level1 (Verified on 04/27/2018)

Sample Information

Sample Taken Date10/25/2021 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sample555 HRC T-heads
The quantity of what the sample constitutes150 From where was the sample collectedSource
First name of sampler or witnessed byKevin Last name of sampler or witnessed byCarpenter
Title of samplerQA Telephone number of sampler14156081742
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameConco Reinforcing Benicia Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB24-087-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerHRC
Coupler ManufacturerHRC Intermediate Assembler or FabricatorConco
Rebar Size#7 Coupler Model555
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)1232 Rebar Heat Number(s)1212
Rebar Size 2 7

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.