Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-10-25-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215396 DEA: 042K8404 EFIS: 0417000031 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-29,80-0.0,0.8/1.6 |
| Award Date | 03/26/2021 |
| Closeout Date | 02/16/2024 |
| Work Description | HMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR. |
| Location Description | SOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 01/25/2021) |
Sample Information
| Sample Taken Date | 10/25/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Department Acceptance | A brief description of the sample | #5 Lenton Formsaver Coupler |
| The quantity of what the sample constitutes | 32 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Carpenter |
| Title of sampler | Telephone number of sampler | 14156081742 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Conco Reinforcing | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-090-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | #5 |
| Coupler Manufacturer | Erico Lenton | Intermediate Assembler or Fabricator | Conco |
| Rebar Size | #5 | Coupler Model | Lenton Formsaver |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 1234 | Rebar Heat Number(s) | 1234 |
| Rebar Size 2 | 5 | Coupler Unique ID | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||