Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-06-20-10
Project Information
| Project Identifiers | Project ID: 213852 DEA: 034F6004 EFIS: 0314000228 |
|---|---|
| DIST-CO-RTE-PM | 03-NEV-80-1.2/R9.4 |
| Award Date | 03/11/2019 |
| Closeout Date | 05/26/2022 |
| Work Description | REMOVE METAL BEAM GUARD RAIL AND REPLACE WITH CONCRETE BARRIER |
| Location Description | NEVADA COUNTY IN AND NEAR TRUCKEE AT VARIOUS LOCATIONS FROM 1.3 MILES WEST OF SODA SPRINGS OVERCROSSING TO 0.3 MILE EAST OF DONNER LAKE UNDERCROSSING |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 06/20/2019 | Sample Unique Key | 10 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Department Acceptance | A brief description of the sample | #4 epoxy rebar |
| The quantity of what the sample constitutes | 2 ea heat | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | QAI | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-032-19 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 4078132 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | VD48036NA | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 4 | Rebar Coating Color | Green |
| Rebar Manufacturer | CMC Rebar | Rebar Coater | CMC Rebar Brighton |
| Rebar Powder Manufacturer | Release Number | ||
| Quality Assurance Code |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
