Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2023-09-12-18
Project Information
Project Identifiers | Project ID: 993915 DEA: 040Y9704 EFIS: 0422000388 |
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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 |
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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 | 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 |
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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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |