Sample Record

Owner Labs

  • Sequoia Consultants
  • CT METS QASI - Los Angeles Design Build Field Laboratory

DIME Sample ID 2023-05-04-4

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 Date05/04/2023 Sample Unique Key4
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 testing05/04/2023
Sample typeQuality Control A brief description of the sample#11 HRC 500/510 Couplers
The quantity of what the sample constitutes64 couplers From where was the sample collectedJob Site
First name of sampler or witnessed byEric Last name of sampler or witnessed byTsang
Title of samplerASR Telephone number of sampler9166395892
Laboratory sample identification Linked DIME Sample ID2023-05-04-1
The fabricator/manufacturer/facility nameIntegrity Rebar Placers Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier55-1111
Structure nameAvery Parkway Bridge Deck

Material Information

Material TypeSMTL TM5 - Couplers Production or Authorization TestingProduction Testing
Service or UltimateService Material Standard CodeASTM A706
Material Grade60 Rebar ManufacturerVinton
Coupler ManufacturerHRC Intermediate Assembler or Fabricator
Rebar Size#11 Coupler ModelHRC 500/510
Coating StandardsUncoated Shape of RebarStraight
Rebar Hoop Diameter Rebar Hoop Fabricator
Coupler Component Heat/Lot Number(s)HRC500 166491 HRC510 73126937 Rebar Heat Number(s)2220540
Rebar Size 2 Coupler Unique IDTP-17-03

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments