Sample Record

DIME Sample ID 2023-12-08-7

Project Information

Project IdentifiersProject ID: 993446
DEA: 120J34U4
EFIS: 1218000034
DIST-CO-RTE-PM12-ORA-55,55-29.6,R6.4/10.3
Award Date05/27/2022
Closeout DateNot set
Work DescriptionCONSTR BRIDGES, RW, SW, JPCP, HMA PVMT, DRAINAGE AND ELECT SYSTEMS.
Location DescriptionORANGE COUNTY IN IRVINE, SANTA ANA, AND TUSTIN ON ROUTE 5 AT NEWPORT AVENUE UNDERCROSSING AND ON ROUTE 55 FROM 0.4 MILE NORTH OF ROUTE 55/405 SEPARATION TO 0.1 MILE SOUTH OF ROUTE 5/55 SEPARATION
QA Service Level1 (Verified on 06/24/2022)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date12/08/2023 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeAuthorization
A brief description of the sample#6 Rebar Grip-Twist Couplers The quantity of what the sample constitutes8 Grip-Twist Couplers
From where was the sample collectedJob Site First name of sampler or witnessed byJoaquin
Last name of sampler or witnessed byMoreno Title of sampler
Telephone number of sampler7146990897 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameSecurity Paving ? Integrity Rebar
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 ManufacturerCascade Steel
Coupler ManufacturerBarSplice Intermediate Assembler or Fabricator
Rebar Size#6 Coupler ModelTaper Threaded Grip- Twist
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)A186986,A193034,A210678,A202267 Rebar Heat Number(s)425722
Rebar Size 2 Coupler Unique IDSS-17-03

Submitted Tests

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