Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-09-12-18
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993915 DEA: 040Y9704 EFIS: 0422000388 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL/SCL-101-47.89/47.89 |
| Award Date | 05/02/2022 |
| Closeout Date | 01/05/2024 |
| Work Description | Repair of girder 5 and replacement of girder 10, both in Span 1. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 08/08/2022) |
Sample Information
| Sample Taken Date | 09/12/2023 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | #6 250L Barlock Couplers |
| The quantity of what the sample constitutes | Lot 1 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Bridgeway Constructors | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-196-23 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Nucor |
| Coupler Manufacturer | Dayton Superior | Intermediate Assembler or Fabricator | |
| Rebar Size | #6 | Coupler Model | D250L Bar Lock |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 191878 | Rebar Heat Number(s) | 350002924121 |
| Rebar Size 2 | 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. | |||