Sample Record
Owner Labs
- CT HQ - QASI Bay Area Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-09-30-4
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Project Information
| Project Identifiers | Project ID: 1000851 DEA: 07351704 EFIS: 0718000204 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-118,118-15.6/R17.9 |
| Award Date | 03/25/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HMA. |
| Location Description | VENTURA COUNTY IN MOORPARK AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 03/11/2025) |
Sample Information
| Sample Taken Date | 09/30/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 10/02/2025 |
| Sample type | Quality Assurance | A brief description of the sample | #6 x 30" Tie Bars |
| The quantity of what the sample constitutes | 2500 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Dsouza |
| Title of sampler | Telephone number of sampler | 562 658 6112 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Highway Products | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L196-013-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 4400039392 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | BD40130NA | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 6 | Rebar Coating Color | Green |
| Rebar Manufacturer | Nucor | Rebar Coater | Simcote |
| Rebar Powder Manufacturer | Release Number | ||
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-09-30-4-1 ASTM A775-19 (Verified)
DIME Test ID: 2025-09-30-4-2 ASTM A775-19 (Verified)