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Sample Record for 2019-10-21-2

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Project Information

Project ID: 213520 DEA: 120M9004 EFIS: 1213000017 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-22-R5.6/R10.9
Work Description: RECHANNELIZE TO ENHANCE TRAFFIC FLOW
Location Description: ORANGE COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF BROOKHURST STREET UNDERCROSSING IN GARDEN GROVE TO BEDFORD ROAD OVERCROSSING IN ORANGE
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 Banana Avenue, Fontana, CA 92335
Resident Engineer: Adrian Wu Structure Rep.: Theodore Pham

Sample Information

DIME Sample ID: 2019-10-21-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 10/21/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/25/2019
The quantity of what the sample constitutes: 35
A brief description of the sample: #14 Twist Grip couplers
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martinez steel

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor Seattle
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator: Martinez Steel Corporation
Rebar Size: 14
Coupler Model: Grip Twist
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): A192437 A191470
Rebar Heat Number(s): SE16105426
Rebar Size 2 :
Coupler Unique ID:

Test Results