Sample Record

DIME Sample ID 2022-08-26-10

Project Information

Project IdentifiersProject ID: 212498
DEA: 021H5204
EFIS: 0217000009
DIST-CO-RTE-PM02-SIS-3,263-48.5/49.7 - 49.41
Award Date08/04/2022
Closeout Date09/30/2025
Work DescriptionRoadway Rehabilitation
Location Description02-Sis-3, 263-R46.8/R48.0, 49.07/49.41
QA Service Level1 (Verified on 06/06/2017)

Owner Lab

  • CT HQ - QASI Bay Area Field Office

Sample Information

Sample Taken Date08/26/2022 Sample Unique Key10
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the sampleTie bar assemblies The quantity of what the sample constitutes204 each Uleg ST 28"
From where was the sample collectedManufacturer First name of sampler or witnessed byEdward
Last name of sampler or witnessed byLeach Title of samplerQAI
Telephone number of sampler7072903887 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameAmerican Highway
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormS38-058-22
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)B-1202042220 W-12021041685
Rebar Epoxy Batch Number(s)ch1032BV CCL-3ch2149022 Rebar Coating SpecificationASTM A934
Rebar Size (#)1.25" x 18" Rebar Coating ColorPurple
Rebar ManufacturerNucor Rebar CoaterAmerican Highway
Rebar Powder ManufacturerSherwin WIlliams Release Number
Quality Assurance Code

Submitted Tests

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