Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2023-09-12-18

Project Information

Project IdentifiersProject ID: 993915
DEA: 040Y9704
EFIS: 0422000388
Award Date05/02/2022
Closeout Date01/05/2024
Work DescriptionRepair of girder 5 and replacement of girder 10, both in Span 1.
Location DescriptionNot set
QA Service Level1 (Verified on 08/08/2022)

Sample Information

Sample Taken Date09/12/2023 Sample Unique Key18
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 testingNot set
Sample typeQuality Assurance A brief description of the sample#6 250L Barlock Couplers
The quantity of what the sample constitutesLot 1 From where was the sample collectedJob Site
First name of sampler or witnessed byRyan Last name of sampler or witnessed byParr
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBridgeway Constructors Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB373-196-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerNucor
Coupler ManufacturerDayton Superior Intermediate Assembler or Fabricator
Rebar Size#6 Coupler ModelD250L Bar Lock
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)191878 Rebar Heat Number(s)350002924121
Rebar Size 2 Coupler Unique IDSL-17-06

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments