Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2024-05-24-2
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Project Information
| Project Identifiers | Project ID: 995156 DEA: 070W3504 EFIS: 0722000005 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-91-R11.7 |
| Award Date | 02/06/2024 |
| Closeout Date | 09/24/2024 |
| Work Description | FURNISH AND PLACE POLYESTER CONCRETE OVERLAY. |
| Location Description | LOS ANGELES COUNTY IN LONG BEACH AT ROUTE 91/710 SEPARATION |
| QA Service Level | 1 (Verified on 09/25/2023) |
Sample Information
| Sample Taken Date | 05/24/2024 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 05/29/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #5 Bar Lock Coupler |
| The quantity of what the sample constitutes | 150 ea. | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | William | Last name of sampler or witnessed by | Clifford |
| Title of sampler | QA Inspector | Telephone number of sampler | 7142674733 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Rouch Rebar, Inc. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L78-021-24 | 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 | Cascade |
| Coupler Manufacturer | Dayton Superior | Intermediate Assembler or Fabricator | Rouch Rebar |
| Rebar Size | #5 | Coupler Model | D250 S/CA |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 4000005511 | Rebar Heat Number(s) | 325723, 325623 |
| 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: 2024-05-24-2-1 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-05-24-2-2 CTM 670-December 2013 (Verified)
DIME Test ID: 2024-05-24-2-3 CTM 670-December 2013 (Verified)