Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2023-02-08-41
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Project Information
| Project Identifiers | Project ID: 214486 DEA: 080K1224 EFIS: 0815000244 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R28.6/37.5 |
| Award Date | 09/24/2021 |
| Closeout Date | 11/03/2025 |
| Work Description | REHBILIATATE EXISTING MAINLINE AND RAMP PAVEMENT |
| Location Description | SAN BERNARDINO COUNTY IN HESPERIA AND VICTORVILLE FROM OAK HILL ROAD OVERCROSSING TO 0.1 MILE SOUTH OF BEAR VALLEY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 02/08/2023 | Sample Unique Key | 41 |
|---|---|---|---|
| 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 | 03/09/2023 |
| Sample type | Quality Assurance | A brief description of the sample | #5 Epoxy Rebar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Richard | Last name of sampler or witnessed by | Verdugo |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Coating Nucor | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 263022 263122 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | CH1472CX | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 5 | Rebar Coating Color | Green |
| Rebar Manufacturer | Nucor | Rebar Coater | Western Coating |
| Rebar Powder Manufacturer | Sherwin Williams | Release Number | |
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-02-08-41-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2023-02-08-41-2 ASTM A775-19 (Verified)