Sample Record

Owner Lab

  • CT SC - 3674 - Pacifica 2

DIME Sample ID 2023-08-21-7

Project Information

Project IdentifiersProject ID: 993856
DEA: 042J7304
EFIS: 0415000004
Award Date03/20/2023
Closeout DateNot set
Work DescriptionSM 101 Cordilleras Crk Br Replacement
Location DescriptionNot set
QA Service Level1 (Verified on 06/27/2022)

Sample Information

Sample Taken Date08/21/2023 Sample Unique Key7
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 testing08/22/2023
Sample typeQuality Assurance A brief description of the sampleSplice test samples
The quantity of what the sample constitutes12 sample splices representing 3 lots From where was the sample collectedJob Site
First name of sampler or witnessed bySeyoum Last name of sampler or witnessed byWorkenh
Title of samplerASR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDayton Superior/CNC Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier35-0365
Structure nameCordilleras Creek Bridge

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerDayton Superior Intermediate Assembler or Fabricator
Rebar Size#8 Coupler ModelBar-Lock D250L
Coating StandardsASTM A934 epoxy Shape of RebarStraight
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 IDSL-17-06

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