Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2019-10-21-2

Project Information

Project IdentifiersProject ID: 213520
DEA: 120M9004
EFIS: 1213000017
DIST-CO-RTE-PM12-ORA-22-R5.6/R10.9
Award Date12/13/2018
Closeout Date09/08/2022
Work DescriptionRECHANNELIZE TO ENHANCE TRAFFIC FLOW
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE WEST OF BROOKHURST STREET UNDERCROSSING IN GARDEN GROVE TO BEDFORD ROAD OVERCROSSING IN ORANGE
QA Service Level1 (Verified on 09/10/2018)

Sample Information

Sample Taken Date10/21/2019 Sample Unique Key2
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 testing10/25/2019
Sample typeQuality Control A brief description of the sample#14 Twist Grip couplers
The quantity of what the sample constitutes35 From where was the sample collectedFabricator
First name of sampler or witnessed bySteve Last name of sampler or witnessed byHall
Title of samplerCALTRANS METS QA INSPECTOR Telephone number of sampler6466327821
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartinez steel Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL134-128-19 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateUltimate Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerNucor Seattle
Coupler ManufacturerBarSplice Intermediate Assembler or FabricatorMartinez Steel Corporation
Rebar Size14 Coupler ModelGrip Twist
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)A192437 A191470 Rebar Heat Number(s)SE16105426
Rebar Size 2 Coupler Unique IDNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments