Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-07-17-12

Project Information

Project IdentifiersProject ID: 994901
DEA: 112T3434
EFIS: 1120000081
DIST-CO-RTE-PM11-SD-805-5.1/8.3
Award Date01/29/2024
Closeout DateNot set
Work DescriptionSOUNDWALLS, WIDEN FREEWAY, STRUCTURES, LANDSCAPE AND ELECTRICAL.
Location DescriptionSAN DIEGO COUNTY IN CHULA VISTA FROM PALOMAR STREET OVERCROSSING TO 0.5 MILE NORTH OF BONITA ROAD UNDERCROSSING
QA Service Level1 (Verified on 03/21/2024)

Sample Information

Sample Taken Date07/17/2025 Sample Unique Key12
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleEpoxy Coated Rebar #6 x 30"
The quantity of what the sample constitutes833 pcs. From where was the sample collectedSupplier
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGarcia
Title of sampler Telephone number of sampler7606866753
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Highway Products Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL169-033-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)4400029979
Rebar Epoxy Batch Number(s)CH0174PC Rebar Coating SpecificationASTM A775
Rebar Size (#)6 Rebar Coating ColorGreen
Rebar ManufacturerNucor Rebar CoaterSimcote
Rebar Powder ManufacturerValspar 720A009 Release Number
Quality Assurance Code

Submitted Tests

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