Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2025-08-12-9

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 Date08/12/2025 Sample Unique Key9
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 testing08/12/2025
Sample typeQuality Assurance A brief description of the sample#6 x 30" Tie Bar Basket
The quantity of what the sample constitutes1200 From where was the sample collectedManufacturer
First name of sampler or witnessed byJayce Last name of sampler or witnessed byGroves
Title of samplerQA Telephone number of sampler5626586112
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) FormL196-001-25 Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)4400038256 10930280
Rebar Epoxy Batch Number(s)CH0174PC Rebar Coating SpecificationASTM A775
Rebar Size (#)6 Rebar Coating ColorGreen
Rebar ManufacturerNucor Rebar CoaterSimcote
Rebar Powder ManufacturerShermin Williams Release NumberL196-001-25
Quality Assurance Code

Submitted Tests

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