Sample Record
Owner Lab
- CT D08 - Corona-Stellar Structures Construction Field Office
DIME Sample ID 2023-12-19-6
Project Information
Project Identifiers | Project ID: 994327 DEA: 081G4704 EFIS: 0816000001 |
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DIST-CO-RTE-PM | 08-RIV-74-3.1/53.5 |
Award Date | 01/02/2023 |
Closeout Date | Not set |
Work Description | STRUCTURAL CONC BR, CONC SLAB, HMA (TYPE A), ALT CRASH CUSHION SYSTEM. |
Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE AT MORRILL CANYON BRIDGE AND NEAR HEMET AT STRAWBERRY CREEK BRIDGE. |
QA Service Level | 1 (Verified on 06/08/2023) |
Sample Information
Sample Taken Date | 12/19/2023 | Sample Unique Key | 6 |
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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 | 01/03/2024 |
Sample type | Acceptance | A brief description of the sample | #6 Lenton Form Saver Coupler |
The quantity of what the sample constitutes | 4 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Arnel | Last name of sampler or witnessed by | Vega |
Title of sampler | Structure Representative | Telephone number of sampler | 951-906-9897 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | nVent Lenton Form Savers | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 56-0180 | |
Structure name | Strawberry Creek Bridge |
Material Information
Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
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Service or Ultimate | Service | Material Standard Code | ASTM A706 |
Material Grade | 60 | Rebar Manufacturer | CMC Steel Arizona |
Coupler Manufacturer | nVent Lenton | Intermediate Assembler or Fabricator | |
Rebar Size | #6 | Coupler Model | Threaded Type (SA) |
Coating Standards | Uncoated | Shape of Rebar | Straight |
Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
Coupler Component Heat/Lot Number(s) | M0129 | Rebar Heat Number(s) | 4134981 |
Rebar Size 2 | Coupler Unique ID | ST-17-05 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-12-19-6-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-12-19-6-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2023-12-19-6-3 CTM 670-December 2013 (Verified)