Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2026-06-24-25
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001361 DEA: 120M9704 EFIS: 1213000099 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-11.5/12.5 |
| Award Date | 09/25/2025 |
| Closeout Date | Not set |
| Work Description | CONST BRIDGES, RET WALLS, JPCP, HMA, CONC BARRIERS AND ELECT SYSTEMS. |
| Location Description | ORANGE COUNTY IN ORANGE AND ANAHEIM FROM 0.2 MILE SOUTH OF ORANGEWOOD AVENUE UNDERCROSSING TO KATELLA AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/28/2025) |
Sample Information
| Sample Taken Date | 06/24/2026 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 06/25/2026 |
| Sample type | Quality Assurance | A brief description of the sample | #11 HRC500/510 rebar coupler |
| The quantity of what the sample constitutes | 298 lbs | From where was the sample collected | Source |
| First name of sampler or witnessed by | Aythem | Last name of sampler or witnessed by | Al-Saleh |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ortiz Enterprises | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Authorization Testing |
|---|---|---|---|
| Service or Ultimate | Ultimate | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Cascade Steel |
| Coupler Manufacturer | Headed Reinforcement Corporation | Intermediate Assembler or Fabricator | |
| Rebar Size | #11 | Coupler Model | HRC 500-510 |
| Coating Standards | Uncoated | Shape of Rebar | Straight |
| Rebar Hoop Diameter | Rebar Hoop Fabricator | ||
| Coupler Component Heat/Lot Number(s) | 73142156 73142654 | Rebar Heat Number(s) | 038626 |
| Rebar Size 2 | Coupler Unique ID | TP-17-03 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2026-06-24-25-1 CTM 670-December 2013 (Verified)