Sample Record

DIME Sample ID 2026-04-29-34

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)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date04/29/2026 Sample Unique Key34
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeAcceptance
A brief description of the sample#4 Rebar with HRC 500/510 The quantity of what the sample constitutes235 lbs
From where was the sample collectedJob Site First name of sampler or witnessed byJohnathan
Last name of sampler or witnessed byShoulders Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameWSP
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingAuthorization Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerHRC Intermediate Assembler or Fabricator
Rebar Size#4 Coupler ModelHRC 500-510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)58061559 & 10000217245N Rebar Heat Number(s)4157443
Rebar Size 2 Coupler Unique IDTF-17-01

Submitted Tests

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