Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-01-16-14

Project Information

Project IdentifiersProject ID: 1000403
DEA: 120K91U4
EFIS: 1222000031
DIST-CO-RTE-PM12-ORA-91-R9.2/R11.4
Award Date01/03/2025
Closeout DateNot set
Work DescriptionCONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS.
Location DescriptionORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING
QA Service Level1 (Verified on 08/19/2024)

Sample Information

Sample Taken Date01/16/2026 Sample Unique Key14
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 testing01/16/2026
Sample typeQuality Control A brief description of the sample#9 Rebar Coupler Assy
The quantity of what the sample constitutes4 Coupler Assemblies From where was the sample collectedJob Site
First name of sampler or witnessed byJayce Last name of sampler or witnessed byGroves
Title of samplerQA Telephone number of sampler5626586112
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Construction Company Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL196-014-26 Structure unique identifier
Structure name Bid Item152 - BAR REINFORCING STEEL (BRIDGE)

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC Steel Arizona
Coupler ManufacturerHRC Gerdau Steel Dynamics Intermediate Assembler or Fabricator
Rebar Size#9 Coupler ModelHRC 500/510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)A254329 & 74141308 Rebar Heat Number(s)4153318
Rebar Size 2 Coupler Unique IDTP-17-02

Submitted Tests

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