Sample Record

DIME Sample ID 2018-07-03-6

Project Information

Project IdentifiersProject ID: 212562
DEA: 024G5504
EFIS: 0214000036
DIST-CO-RTE-PM02-SIS-5-2.7/R11.4
Award Date03/12/2018
Closeout Date10/05/2020
Work DescriptionRECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location DescriptionSISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
QA Service Level1 (Verified on 04/04/2018)

Owner Lab

  • CT - Unassigned/General Field Laboratory

Sample Information

Sample Taken Date07/03/2018 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing07/03/2018 Sample typeQuality Assurance
A brief description of the sampleA934 Purple Epoxy Coated Rebar The quantity of what the sample constitutesxxx
From where was the sample collectedSource First name of sampler or witnessed byTory
Last name of sampler or witnessed byMcLaurin Title of samplerQuality Assurance Inspector
Telephone number of sampler6616185971 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameJC Supply
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown
Structure unique identifierNot set Structure nameNot set
Bid ItemNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)xxx
Rebar Epoxy Batch Number(s) Rebar Coating SpecificationASTM A934
Rebar Size (#)#6 Rebar Coating ColorPurple
Rebar ManufacturerUnknown Rebar CoaterJC Supply And Manufacturing
Rebar Powder ManufacturerUnknown Release NumberUnknown
Quality Assurance CodeUnknown

Submitted Tests

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