Sample Record

DIME Sample ID 2019-10-30-1

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date10/30/2019 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing11/04/2019 Sample typeQuality Assurance
A brief description of the sampleA934 Purple Epoxy Coated Rebar The quantity of what the sample constitutes2
From where was the sample collectedSource First name of sampler or witnessed byHitesh
Last name of sampler or witnessed byPatel Title of samplerQuality Assurance Inspector
Telephone number of sampler9168691602 Laboratory sample identificationUnknown
Linked DIME Sample IDUnknown The fabricator/manufacturer/facility nameFletcher Coating Co
Transportation Laboratory (TL) NumberUnknown Inspector Lot Number from the Transportation Laboratory (TL) FormL131-250-19
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)4087752
Rebar Epoxy Batch Number(s) Rebar Coating SpecificationASTM A934
Rebar Size (#)8 Rebar Coating ColorPurple
Rebar ManufacturerCMC Arizona Rebar CoaterFletcher Coating Company
Rebar Powder ManufacturerUnknown Release NumberUnknown
Quality Assurance CodeUnknown

Submitted Tests

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