Sample Record
Owner Labs
- Sequoia Consultants
- CT METS QASI - Los Angeles Design Build Field Laboratory
DIME Sample ID 2023-05-04-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214355 DEA: 120K0214 EFIS: 1214000096 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-12.4/14.5 |
| Award Date | 12/20/2019 |
| Closeout Date | 10/02/2025 |
| Work Description | South County Improvement Project (Phase 1 - Avery/Crown Valley) PLACE HMA, INSTALL CONC PAVEMENT, RETAIN WALL, MODIFY ELECT SYS. | Add one lane btwn 73 & Oso PKWY |
| Location Description | ORANGE COUNTY IN SAN JUAN CAPISTRANO, LAGUNA HILLS, LAGUNA NIGUEL AND MISSION VIEJO FROM 0.5 MILE SOUTH OF AVERY PARKWAY UNDERCROSSING TO 0.8 MILE NORTH OF CROWN VALLEY PARKWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 10/31/2019) |
Sample Information
| Sample Taken Date | 05/04/2023 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 05/04/2023 |
| Sample type | Quality Control | A brief description of the sample | #11 HRC 500/510 Couplers |
| The quantity of what the sample constitutes | 64 couplers | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Eric | Last name of sampler or witnessed by | Tsang |
| Title of sampler | ASR | Telephone number of sampler | 9166395892 |
| Laboratory sample identification | Linked DIME Sample ID | 2023-05-04-1 | |
| The fabricator/manufacturer/facility name | Integrity Rebar Placers | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 55-1111 | |
| Structure name | Avery Parkway Bridge Deck | Bid Item | Not set |
Material Information
| Material Type | SMTL TM5 - Couplers | Production or Authorization Testing | Production Testing |
|---|---|---|---|
| Service or Ultimate | Service | Material Standard Code | ASTM A706 |
| Material Grade | 60 | Rebar Manufacturer | Vinton |
| Coupler Manufacturer | HRC | 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) | HRC500 166491 HRC510 73126937 | Rebar Heat Number(s) | 2220540 |
| Rebar Size 2 | Coupler Unique ID | TP-17-03 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||