Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-06-26-5
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Project Information
| Project Identifiers | Project ID: 994525 DEA: 031H9904 EFIS: 0317000043 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA,NEV-80-68.3/69.7,0.0/R2.7 |
| Award Date | 11/07/2023 |
| Closeout Date | Not set |
| Work Description | RDWY EXC, PLACE HMA & JPCP, SLAB REPLACEMENT & POLYESTER CONC OVERLAY. |
| Location Description | PLACER AND NEVADA COUNTIES NEAR KINGVALE FROM 0.3 MILE WEST OF TROY UNDERCROSSING TO 0.2 MILE EAST OF SODA SPRINGS OVERCROSSING |
| QA Service Level | 1 (Verified on 05/15/2023) |
Sample Information
| Sample Taken Date | 06/26/2024 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 06/26/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Green Epoxy #5 Rebar |
| The quantity of what the sample constitutes | 75-Shipment | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Levi | Last name of sampler or witnessed by | Pivoda |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 9152961871 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Camblin Steel | 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) | 087224 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | CH3553SY | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | #5 | Rebar Coating Color | Green |
| Rebar Manufacturer | Cascade Steel | Rebar Coater | Western Coating Ogden UT |
| 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: 2024-06-26-5-1 ASTM A775-19 (Verified)
DIME Test ID: 2024-06-26-5-2 ASTM A775-19 (Verified)