Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2021-11-17-1
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215396 DEA: 042K8404 EFIS: 0417000031 |
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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 | 11/17/2021 | Sample Unique Key | 1 |
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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 | 11/18/2021 |
Sample type | Quality Assurance | A brief description of the sample | Erico Lenton Stander Couplers |
The quantity of what the sample constitutes | 1 lot of 16 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 | 5103855910 | |
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 | B373-114-21 | 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 | Gerdau |
Coupler Manufacturer | Eaton | Intermediate Assembler or Fabricator | |
Rebar Size | #8 | Coupler Model | Erico Standard |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
Coupler Component Heat/Lot Number(s) | Heat- A212123 Lot- L9901 | Rebar Heat Number(s) | 58048516 |
Rebar Size 2 | 8 | 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: 2021-11-17-1-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-11-17-1-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-11-17-1-3 CTM 670-December 2013 (Verified)