Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-05-08-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000004 DEA: 033H5604 EFIS: 0318000014 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA,NEV-20,80-VAR |
| Award Date | 05/10/2024 |
| Closeout Date | Not set |
| Work Description | STRUCTURAL CONC, BAR REINFORCING STEEL, BRIDGE REMOVAL, HMA, AND JPCP. |
| Location Description | PLACER AND NEVADA COUNTIES NEAR CISCO GROVE ON ROUTE 80 FROM 0.4 MILE WEST OF LAKE VALLEY OVERCROSSING TO 0.9 MILE EAST OF YUBA PASS SEPARATION AND OVERHEAD AND ON ROUTE 20 AT YUBA PASS SEPARATION AND OVERHEAD |
| QA Service Level | 1 (Verified on 01/18/2024) |
Sample Information
| Sample Taken Date | 05/08/2025 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 testing | 05/12/2025 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM A706 Grade 60 #3 size rebar - epoxy coated - ASTM A775 |
| The quantity of what the sample constitutes | 752 LBS | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | Telephone number of sampler | 7073428602 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Coatings Ogden, UT | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-005-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 284124 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | CH3374UX | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 3 | Rebar Coating Color | Green |
| Rebar Manufacturer | Cascade Steel Oregon | Rebar Coater | Western Coatings Eugene OR |
| Rebar Powder Manufacturer | Sherwin Williams | Release Number | 121 |
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| M0523-0695 Dime Number 2025-05-08-6 | 06/02/2025 | Info |
Test File Attachments
DIME Test ID: 2025-05-08-6-1 ASTM A775-19 (Verified)
DIME Test ID: 2025-05-08-6-2 ASTM A775-19 (Verified)