Sample Record
Owner Lab
- CT SC - 3674 - Pacifica 2
DIME Sample ID 2023-08-21-7
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Project Information
| Project Identifiers | Project ID: 993856 DEA: 042J7304 EFIS: 0415000004 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-6.7/7.6 |
| Award Date | 03/20/2023 |
| Closeout Date | Not set |
| Work Description | SM 101 Cordilleras Crk Br Replacement |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 06/27/2022) |
Sample Information
| Sample Taken Date | 08/21/2023 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 08/22/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Splice test samples |
| The quantity of what the sample constitutes | 12 sample splices representing 3 lots | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Seyoum | Last name of sampler or witnessed by | Workenh |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Dayton Superior/CNC Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 35-0365 | |
| Structure name | Cordilleras Creek Bridge |
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 | CMC |
| Coupler Manufacturer | Dayton Superior | Intermediate Assembler or Fabricator | |
| Rebar Size | #8 | Coupler Model | Bar-Lock D250L |
| Coating Standards | ASTM A934 epoxy | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 4000012990, 4000003591, 4000005513, 400000550 | Rebar Heat Number(s) | 4127190, 6042835, |
| Rebar Size 2 | 9 | Coupler Unique ID | SL-17-06 |
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. | |||