Sample Record

Owner Lab

  • CT QASI - Los Angeles Field Laboratory

DIME Sample ID 2021-05-27-13

Project Information

Project IdentifiersProject ID: 214355
DEA: 120K0214
EFIS: 1214000096
DIST-CO-RTE-PM12-ORA-5-12.4/14.5
Award Date12/20/2019
Closeout DateNot set
Work DescriptionSouth 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 DescriptionORANGE 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 Level1 (Verified on 10/31/2019)

Sample Information

Sample Taken Date05/27/2021 Sample Unique Key13
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 testing05/28/2021
Sample typeQuality Assurance A brief description of the sampleDayton Superior D101A Dowel Bar (SF-17-01)
The quantity of what the sample constitutes(8) #5 D101A Dowel Bar (D-B) From where was the sample collectedFabricator
First name of sampler or witnessed byRigoberto Last name of sampler or witnessed byMarin
Title of samplerAMR Telephone number of sampler951-500-0685
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoreslab Structures L A Inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL133-063-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerNucor
Coupler ManufacturerDayton Superior Intermediate Assembler or FabricatorCoreslab Structures L A Inc
Rebar Size#5 Coupler ModelSF-17-01
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop DiameterNA Rebar Hoop FabricatorNA
Coupler Component Heat/Lot Number(s)128314 Rebar Heat Number(s)3500014854
Rebar Size 2 5

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-05-27-13-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/28/2021fsaylor
Yes
05/28/2021OK Necking
2021-05-27-13-2CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/28/2021fsaylor
Yes
05/28/2021OK Necking
2021-05-27-13-3CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/28/2021fsaylor
Yes
05/28/2021OK Necking
2021-05-27-13-4CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/28/2021fsaylor
Yes
05/28/2021OK Necking
2021-05-27-13-5CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/28/2021fsaylor
Yes
05/28/2021OK Necking
2021-05-27-13-6CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)fsaylorCT HQ - Sacramento Structural Materials Testing Laboratory05/28/2021fsaylor
Yes
05/28/2021OK Necking