Sample Record
Owner Labs
- CT HQ - QASI Bay Area Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-08-01-7
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Project Information
| Project Identifiers | Project ID: 212523 DEA: 033H3504 EFIS: 0317000327 |
|---|---|
| DIST-CO-RTE-PM | 03-SIE-49-45.19 |
| Award Date | 06/08/2017 |
| Closeout Date | 01/15/2019 |
| Work Description | Construct Viaduct and re-establish both lanes of travel |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 08/01/2017) |
Sample Information
| Sample Taken Date | 08/01/2017 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 08/02/2017 |
| Sample type | Verification | A brief description of the sample | 5 A775 epoxy coated rebar |
| The quantity of what the sample constitutes | 1 truck load | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Flygare |
| Title of sampler | CA METS QA Inspector | Telephone number of sampler | 801-669-2984 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Western Coating | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B76-124-17 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 4065349, 4065348 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | 7696024903 | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 5 | Rebar Coating Color | Green |
| Rebar Manufacturer | CMC | Rebar Coater | Western Coating |
| Rebar Powder Manufacturer | Valspar | Release Number | 36420 |
| Quality Assurance Code | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-08-01-7-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2017-08-01-7-2 ASTM A775-07b-re14 (Verified)