Sample Record for 2019-06-11-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213852 DEA: 034F6004 EFIS: 0314000228
QA Service Level: 1
DIST-CO-RTE-PM: 03-NEV-80-1.2/R9.4
Work Description: REMOVE METAL BEAM GUARD RAIL AND REPLACE WITH CONCRETE BARRIER
Location Description: NEVADA COUNTY IN AND NEAR TRUCKEE AT VARIOUS LOCATIONS FROM 1.3 MILES WEST OF SODA SPRINGS OVERCROSSING TO 0.3 MILE EAST OF DONNER LAKE UNDERCROSSING
Contractor Name: ROAD AND HIGHWAY BUILDERS OF CALIFORNIA, INC.
Contractor Address: 175 SOLOMON CIR. #103, SPARKS, NV 89434
Resident Engineer: RANDY STELLHORN Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2019-06-11-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Department Acceptance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 06/11/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/18/2019
The quantity of what the sample constitutes: 81340
A brief description of the sample: ASTM A775 epoxy coated #5
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: Concrete barrier type-742B structural concrete barrier slab-epoxy
The fabricator/manufacturer/facility name: CMC Rebar Brighton
Material Information
Rebar Heat Number(s): 4086999, 4086739
Rebar Epoxy Batch Number(s): VB17543NA, VD45300NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): 5
Rebar Coating Color: Green
Rebar Manufacturer: CMC Steel AZ
Rebar Coater: CMC Rebar Brighton
Rebar Powder Manufacturer: Akzo Nobel
Release Number: Unknown
Quality Assurance Code: Unknown
Test Results
