Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2023-09-25-63
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Project Information
| Project Identifiers | Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-4.4/R7.7 |
| Award Date | 03/01/2021 |
| Closeout Date | Not set |
| Work Description | Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B. |
| Location Description | 101 freeway in Summerland, CA |
| QA Service Level | 1 (Verified on 05/06/2021) |
Sample Information
| Sample Taken Date | 09/25/2023 | Sample Unique Key | 63 |
|---|---|---|---|
| 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 | 10/18/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Coupler |
| The quantity of what the sample constitutes | 128 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Delacruz |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | SW8 Pile Cap | Transportation Laboratory (TL) Number | |
| 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 | Production Testing |
|---|---|---|---|
| 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 | #8 | Coupler Model | D250SCA |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 4000003591 4000005513 | Rebar Heat Number(s) | 9000124 |
| 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: 2023-09-25-63-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-09-25-63-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-09-25-63-3 CTM 670-December 2013 (Verified)