Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-03-17-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993580 DEA: 020H5704 EFIS: 0215000052 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD-139-R3.5/30.3 |
| Award Date | 11/10/2022 |
| Closeout Date | 05/06/2024 |
| Work Description | MODOC 139 DRAINAGE - DRAINAGE REHABILITATION |
| Location Description | IN 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 Level | 1 (Verified on 03/02/2022) |
Sample Information
| Sample Taken Date | 03/17/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 03/20/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 2 - 30" #4 bars |
| The quantity of what the sample constitutes | 102 lbs | From where was the sample collected | Other |
| First name of sampler or witnessed by | Steve | Last name of sampler or witnessed by | Haynes |
| Title of sampler | QA Inspector | Telephone number of sampler | 510-593-1179 |
| Laboratory sample identification | Linked DIME Sample ID | 2023-03-17-5 | |
| The fabricator/manufacturer/facility name | Precast Unlimited | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S81-021-23 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 020423 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | CH2142AP | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 4 | Rebar Coating Color | Green |
| Rebar Manufacturer | Cascade Steel Oregon | Rebar Coater | Western Coating Auburn WA |
| Rebar Powder Manufacturer | Sherwin Williams | Release Number | 1735 |
| Quality Assurance Code | 3GFD |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||