Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2023-09-18-17
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Project Information
| Project Identifiers | Project ID: 993279 DEA: 010E0904 EFIS: 0113000123 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN-20-33.3/34.4 |
| Award Date | 05/06/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310) |
| Location Description | MENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144 |
| QA Service Level | 1 (Verified on 10/04/2021) |
Sample Information
| Sample Taken Date | 09/18/2023 | Sample Unique Key | 17 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 09/19/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Bar Lock Coupler |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Westin | Last name of sampler or witnessed by | M |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Plymouth Tubes | Transportation Laboratory (TL) Number | c855206 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Retest |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 75 | Rebar Manufacturer | CMC |
| Coupler Manufacturer | Dayton Superior | Intermediate Assembler or Fabricator | |
| Rebar Size | #5 | Coupler Model | Bar-Lock |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 4000005510 | Rebar Heat Number(s) | 6042557 4131060 |
| Rebar Size 2 | Coupler Unique ID | SL-17-01 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-09-18-17-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-09-18-17-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-09-18-17-3 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-09-18-17-4 CTM 670-December 2013 (Verified)