Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2023-03-21-1
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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 | 03/21/2023 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 03/21/2023 |
| Sample type | Department Acceptance | A brief description of the sample | A775 #4 Rebar |
| The quantity of what the sample constitutes | 5518lbs | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
| Title of sampler | QA | Telephone number of sampler | 916 517-0532 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Precast Unlimited | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-095-23 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
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 | Rebar Coater | Western Coating Auburn WA |
| Rebar Powder Manufacturer | Sherwin Williams | Release Number | 1741 |
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-03-21-1-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2023-03-21-1-2 ASTM A775-07b-re14 (Verified)