Sample Record

DIME Sample ID 2023-03-17-6

Project Information

Project IdentifiersProject ID: 993580
DEA: 020H5704
EFIS: 0215000052
DIST-CO-RTE-PM02-MOD-139-R3.5/30.3
Award Date11/10/2022
Closeout Date05/06/2024
Work DescriptionMODOC 139 DRAINAGE - DRAINAGE REHABILITATION
Location DescriptionIN MODOC COUNTY AT VARIOUS LOCATIONS FROM 1.2 MILES NORTH OF HOWARDS GULCH BRIDGE TO 0.1 MILE SOUTH OF CLEAR LAKE ROAD.
QA Service Level1 (Verified on 03/02/2022)

Owner Lab

  • CT HQ - QASI Sacramento Field Office

Sample Information

Sample Taken Date03/17/2023 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing03/20/2023 Sample typeQuality Assurance
A brief description of the sample2 - 30" #4 bars The quantity of what the sample constitutes102 lbs
From where was the sample collectedOther First name of sampler or witnessed bySteve
Last name of sampler or witnessed byHaynes Title of samplerQA Inspector
Telephone number of sampler510-593-1179 Laboratory sample identification
Linked DIME Sample ID2023-03-17-5 The fabricator/manufacturer/facility namePrecast Unlimited
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) FormS81-021-23
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)020423
Rebar Epoxy Batch Number(s)CH2142AP Rebar Coating SpecificationASTM A775
Rebar Size (#)4 Rebar Coating ColorGreen
Rebar ManufacturerCascade Steel Oregon Rebar CoaterWestern Coating Auburn WA
Rebar Powder ManufacturerSherwin Williams Release Number1735
Quality Assurance Code3GFD

Submitted Tests

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