Sample Record

DIME Sample ID 2019-06-20-11

Project Information

Project IdentifiersProject ID: 213357
DEA: 024F2004
EFIS: 0212000071
DIST-CO-RTE-PM02-SHA-44-59.4/59.8
Award Date11/02/2018
Closeout Date01/04/2021
Work DescriptionBRIDGE REPLACEMENT
Location DescriptionSHASTA COUNTY NEAR OLD STATION FROM 0.3 MILE WEST TO 0.2 MILE EAST OF HAT CREEK BRIDGE
QA Service Level1 (Verified on 06/21/2018)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date06/20/2019 Sample Unique Key11
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeDepartment Acceptance
A brief description of the sample#5 epoxy rebar The quantity of what the sample constitutes2 ea heat
From where was the sample collectedManufacturer First name of sampler or witnessed byRyan
Last name of sampler or witnessed byParr Title of samplerQAI
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCMC Rebar
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB373-029-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)4086972, 4086945
Rebar Epoxy Batch Number(s)VD48036NA Rebar Coating SpecificationASTM A775
Rebar Size (#)5 Rebar Coating ColorGreen
Rebar ManufacturerCMC Rebar Rebar CoaterCMC Rebar Brighton
Rebar Powder Manufacturer Release Number
Quality Assurance Code

Submitted Tests

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