Sample Record

DIME Sample ID 2018-11-28-4

Project Information

Project IdentifiersProject ID: 211778
DEA: 04235654
EFIS: 0400000680
DIST-CO-RTE-PM04-SM-101,114-1.3/2.5,5.0/5.3
Award Date02/10/2017
Closeout Date01/08/2020
Work DescriptionRECONSTRUCT INTERCHANGE
Location DescriptionSAN MATEO COUNTY AT VARIOUS LOCATIONS ON ROUTE 101 FROM 0.4 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.6 MILE SOUTH OF HENDERSON UNDERPASS AND ON ROUTE 114 FROM WILLOW ROAD SEPARATION TO NEWBRIDGE STREET
QA Service Level1 (Verified on 10/24/2016)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date11/28/2018 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing11/30/2018 Sample typeQuality Assurance
A brief description of the sample8 A775 epoxy coated rebar The quantity of what the sample constitutes1,079 lbs. / 1 shipment
From where was the sample collectedManufacturer First name of sampler or witnessed byKevin
Last name of sampler or witnessed byZartman Title of samplerCMC GM
Telephone number of sampler(303)558-1434 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameCMC Rebar Colorado
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)4077979
Rebar Epoxy Batch Number(s)UG13643NA Rebar Coating SpecificationASTM A775
Rebar Size (#)8 Rebar Coating ColorGreen
Rebar ManufacturerCMC Rebar CoaterCMC
Rebar Powder ManufacturerResicoat Release Number89EG
Quality Assurance CodeUnknown

Submitted Tests

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