Sample Record

DIME Sample ID 2023-03-18-25

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

Sample Information

Sample Taken Date03/18/2023 Sample Unique Key25
Date that the sample was received by the laboratory/organization performing the testing03/28/2023 Sample typeQuality Assurance
A brief description of the sample#5 Hrc 500/510 Coupler The quantity of what the sample constitutes4
From where was the sample collectedJob Site First name of sampler or witnessed byHank
Last name of sampler or witnessed byAlonzo Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC HRC
Transportation Laboratory (TL) NumberC665582 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 TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerCMC
Coupler ManufacturerHRC Intermediate Assembler or Fabricator
Rebar Size#5 Coupler ModelHRC 500/510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)5394385 1000217245N Rebar Heat Number(s)4126743
Rebar Size 2 Coupler Unique IDTP-17-03

Submitted Tests

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