Sample Record

DIME Sample ID 2024-03-28-9

Project Information

Project IdentifiersProject ID: 994737
DEA: 081M1704
EFIS: 0821000086
DIST-CO-RTE-PM08-RIV-15,71,91,215-Var
Award Date06/30/2023
Closeout Date08/30/2024
Work DescriptionSTRUCTURAL CONCRETE AND POLYESTER CONCRETE OVERLAY.
Location DescriptionRIVERSIDE COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 08/15/2023)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date03/28/2024 Sample Unique Key9
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeVerification
A brief description of the sample#6 OCM OS Splice Coupler The quantity of what the sample constitutes150 Couplers
From where was the sample collectedFabricator First name of sampler or witnessed byHenry
Last name of sampler or witnessed byArredondo Title of samplerCaltrans Mets QA Inspector
Telephone number of sampler5623329603 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameRouch Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormL166-022-24
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 ManufacturerCascade Steel Oregon
Coupler ManufacturerOCM Intermediate Assembler or Fabricator
Rebar Size#6 Coupler ModelO-S Splice Clip
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)33883 Rebar Heat Number(s)452823
Rebar Size 2 6 Coupler Unique IDWT-17-01

Submitted Tests

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