Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-05-19-4
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Project Information
| Project Identifiers | Project ID: 215063 DEA: 032F5704 EFIS: 0300020615 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-80-46.3/63.5 |
| Award Date | 09/23/2020 |
| Closeout Date | 08/11/2023 |
| Work Description | Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay) |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/16/2020) |
Sample Information
| Sample Taken Date | 05/19/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 05/24/2021 |
| Sample type | Quality Assurance | A brief description of the sample | # 8 Epoxy Coated Audit Sample |
| The quantity of what the sample constitutes | Sample testing for audit findings | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
| Title of sampler | CT QA METS Inspector | Telephone number of sampler | 3854470624 |
| Laboratory sample identification | na | Linked DIME Sample ID | na |
| The fabricator/manufacturer/facility name | Western Coatings Ogden, UT | Transportation Laboratory (TL) Number | na |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-066-21 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 1202031306 1201031565 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | C210835 | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 8 | Rebar Coating Color | Green |
| Rebar Manufacturer | Nucor | Rebar Coater | Western Coating Ogden UT |
| Rebar Powder Manufacturer | Pureflex Green | Release Number | ERSS332252SS-FH9 |
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-05-19-4-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2021-05-19-4-2 ASTM A775-07b-re14 (Verified)