Sample Record

Owner Lab

  • Peterson-Chase Gen Eng Construction, Incorporated

DIME Sample ID 2026-02-06-43

Project Information

Project IdentifiersProject ID: 995534
DEA: 120T8604
EFIS: 1222000109
DIST-CO-RTE-PM12-ORA-5-2.3/19.9
Award Date03/13/2024
Closeout DateNot set
Work DescriptionAPPLY METHACRYLATE AND POLYESTER CONCRETE & REPLACE JOINT SEALS.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM AVENIDA PRESIDIO UNDERCROSSING TO LAKE FOREST DRIVE OVERCROSSING
QA Service Level1 (Verified on 01/26/2024)

Sample Information

Sample Taken Date02/06/2026 Sample Unique Key43
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 testing02/06/2026
Sample typeQuality Control A brief description of the sample#5 rebar coupler samples
The quantity of what the sample constitutes12 From where was the sample collectedSupplier
First name of sampler or witnessed byGreg Last name of sampler or witnessed byStevens
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRouch Rebar, Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier55-0231
Structure nameJunipero Serra UC Bid Item19 - BAR REINFORCING STEEL (BRIDGE)

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCascade
Coupler ManufacturerOCM Intermediate Assembler or Fabricator
Rebar Size#5 Coupler ModelO-S Splice Clip
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)81003123 Rebar Heat Number(s)31226
Rebar Size 2 Coupler Unique IDWT-17-01

Submitted Tests

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