Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2022-01-26-13

Project Information

Project IdentifiersProject ID: 214176
DEA: 033F0904
EFIS: 0312000056
DIST-CO-RTE-PM03-SAC,SJ-5,160-Var
Award Date10/10/2019
Closeout Date10/27/2022
Work DescriptionREPLACE STRUCTURAL CONCRETE BRIDGES, PLACE CIDH & CISS CONCRETE PILES.
Location DescriptionSACRAMENTO COUNTY AT NORTH SACRAMENTO UNDERCROSSING AND SACRAMENTO RIVER BRIDGE AND IN SAN JOAQUIN COUNTY AT MOKELUMNE RIVER BRIDGE
QA Service Level1 (Verified on 05/29/2019)

Sample Information

Sample Taken Date01/26/2022 Sample Unique Key13
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 testing02/02/2022
Sample typePer Request A brief description of the sample1.25" Square rebar
The quantity of what the sample constitutes1 bar From where was the sample collectedJob Site
First name of sampler or witnessed byDon Last name of sampler or witnessed byAdams
Title of samplerMETS Rep Telephone number of sampler7756910287
Laboratory sample identificationNone Linked DIME Sample IDNone
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) NumberNone
Inspector Lot Number from the Transportation Laboratory (TL) FormS55 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A615
Material Grade40 Rebar ManufacturerUnknown
Coupler ManufacturerUnknown Intermediate Assembler or Fabricator
Rebar Size#11 Coupler ModelUnknown
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)Unknown Rebar Heat Number(s)Unknown
Rebar Size 2 11 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments