Sample Record

Owner Lab

  • CT HQ - QASI Bay Area Field Office

DIME Sample ID 2025-06-18-4

Project Information

Project IdentifiersProject ID: 1000279
DEA: 023H70U4
EFIS: 0223000161
DIST-CO-RTE-PM02-TRI-299-15.0/25.7
Award Date08/09/2024
Closeout DateNot set
Work DescriptionRHMA-G, HMA (TYPE A), COLD PLANE AC, & SOLDIER PILE RETAINING WALL.
Location DescriptionTRINITY COUNTY NEAR DEL LOMA FROM 1.0 MILE EAST OF TRINITY RIVER BRIDGE NO.05-0006 TO 0.1 MILE WEST OF PRAIRIE CREEK ROAD
QA Service Level1 (Verified on 04/30/2024)

Sample Information

Sample Taken Date06/18/2025 Sample Unique Key4
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 testing06/18/2025
Sample typeQuality Assurance A brief description of the sampleA706 gr 80 rebar
The quantity of what the sample constitutes26,224 lbs From where was the sample collectedSupplier
First name of sampler or witnessed byDavid Last name of sampler or witnessed byLund
Title of sampler Telephone number of sampler8014626352
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWestern Coatings Ogden, UT Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB390-055-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)3500041159
Rebar Epoxy Batch Number(s)na Rebar Coating SpecificationASTM A775
Rebar Size (#)#5 Rebar Coating ColorGreen
Rebar ManufacturerNucor Rebar CoaterWestern Coating Ogden UT
Rebar Powder Manufacturerna Release Number
Quality Assurance Code

Submitted Tests

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