Sample Record
Owner Lab
- CT SC - 3674 - Pacifica 2
DIME Sample ID 2023-09-11-10
Project Information
Project Identifiers | Project ID: 993856 DEA: 042J7304 EFIS: 0415000004 |
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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 | 09/11/2023 | Sample Unique Key | 10 |
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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 | 09/12/2023 |
Sample type | Quality Assurance | A brief description of the sample | Splice test samples |
The quantity of what the sample constitutes | 8 sample splices representing 2 lots | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Tyler | Last name of sampler or witnessed by | Pinell |
Title of sampler | SR | 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 |
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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 | #4 | Coupler Model | Bar-Lock D250L |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
Coupler Component Heat/Lot Number(s) | 192700, 4000003591 | Rebar Heat Number(s) | 4130965 |
Rebar Size 2 | 7 | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |