Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-12-03-19
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Project Information
| Project Identifiers | Project ID: 215744 DEA: 033H93U4 EFIS: 0321000091 |
|---|---|
| DIST-CO-RTE-PM | 03-YUB,BUT-70-25.5/25.8,0.0/3.8 |
| Award Date | 07/15/2021 |
| Closeout Date | Not set |
| Work Description | WIDEN ROADWAY & SHOULDER, ADD TURN LANES & CONSTRUCT BRIDGE. |
| Location Description | YUBA AND BUTTE COUNTIES ABOUT 11 MILES NORTH OF MARYSVILLE FROM 0.8 MILE NORTH OF CHANDLER ROAD TO 0.2 MILE SOUTH OF EAST GRIDLEY ROAD |
| QA Service Level | 1 (Verified on 05/20/2021) |
Sample Information
| Sample Taken Date | 12/03/2021 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 12/07/2021 |
| Sample type | Quality Assurance | A brief description of the sample | #14 HRC 500/510 Couplers |
| The quantity of what the sample constitutes | 150 Couplers | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Hannah | Last name of sampler or witnessed by | Braun |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | MCM Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Nucor |
| Coupler Manufacturer | HRC | Intermediate Assembler or Fabricator | |
| Rebar Size | #14 | Coupler Model | HRC 500/510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 73118000 73121211 | Rebar Heat Number(s) | 3500018029 1202031166 |
| Rebar Size 2 | Coupler Unique ID | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-12-03-19-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-12-03-19-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2021-12-03-19-4 CTM 670-December 2013 (Verified)