Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-12-07-1

Project Information

Project IdentifiersProject ID: 88888
DEA: SMTL-STOCK
EFIS: SMTL-STOCK
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date12/07/2021 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeRecertification
A brief description of the sample#6 A775 Epoxy Coated Reinforcement The quantity of what the sample constitutes2 samples
From where was the sample collectedFabricator First name of sampler or witnessed byVarun
Last name of sampler or witnessed byShyam Title of samplerTE Civil
Telephone number of sampler3126469447 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameWestern Coating (Farwest)
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormB-3-700-21
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)1202037498
Rebar Epoxy Batch Number(s)XF92070NA Rebar Coating SpecificationASTM A775
Rebar Size (#)5 Rebar Coating ColorGreen
Rebar ManufacturerNucor Rebar CoaterWestern
Rebar Powder ManufacturerAkzonobel Release Number
Quality Assurance Code

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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