Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-11-25-7
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Project Information
| Project Identifiers | Project ID: 1000403 DEA: 120K91U4 EFIS: 1222000031 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-91-R9.2/R11.4 |
| Award Date | 01/03/2025 |
| Closeout Date | Not set |
| Work Description | CONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 08/19/2024) |
Sample Information
| Sample Taken Date | 11/25/2025 | 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 | 12/02/2025 |
| Sample type | Quality Assurance | A brief description of the sample | #6x 30" Rebar, Loose Tie Bars |
| The quantity of what the sample constitutes | 3,000 EA | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Alexis | Last name of sampler or witnessed by | Millan |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 9097569960 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Highway Products | Transportation Laboratory (TL) Number | L191-042-25 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | 113 - JOINTED PLAIN CONCRETE PAVEMENT (RSC) |
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: 2025-11-25-7-1 ASTM A775-19 (Verified)
DIME Test ID: 2025-11-25-7-2 ASTM A775-19 (Verified)