Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-09-27-8
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Project Information
| Project Identifiers | Project ID: 994588 DEA: 081H3904 EFIS: 0817000032 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R20.5/R21.6,R25.5/R30.7 |
| Award Date | 07/13/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT BUILDING, ROADWAY EXC, JPCP, AND TEMPORARY BARRIER SYSTEM. |
| Location Description | SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF CLEGHORN ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF ROUTE 138 AND FROM 0.5 MILE SOUTH OF TRUCK SAFETY CHECK AREA TO 0.4 MILE NORTH OF OAK HILL ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 08/02/2023) |
Sample Information
| Sample Taken Date | 09/27/2024 | Sample Unique Key | 8 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 10/01/2024 |
| Sample type | Quality Assurance | A brief description of the sample | #6x30" Fully Epoxy Coated Purple Loose Tie Bar ASTM A934 |
| The quantity of what the sample constitutes | 120 EA | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Levi | Last name of sampler or witnessed by | Pivoda |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 9152961871 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American Highway - Simplex | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 1202059427 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | CH2613TV CH1644GF | Rebar Coating Specification | ASTM A934 |
| Rebar Size (#) | #6 | Rebar Coating Color | Purple |
| Rebar Manufacturer | Nucor | Rebar Coater | American Highway Simplex |
| Rebar Powder Manufacturer | Release Number | ||
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-27-8-1 ASTM A934-19 (Verified)
DIME Test ID: 2024-09-27-8-2 ASTM A934-19 (Verified)