Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2017-06-23-8
Project Information
Project Identifiers | Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663 |
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DIST-CO-RTE-PM | 07-LA-710-6.0-9.4 |
Award Date | 09/02/2011 |
Closeout Date | Not set |
Work Description | Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing. |
Location Description | Port of Long Beach (District 7) |
QA Service Level | 1 (Verified on 06/03/2013) |
Sample Information
Sample Taken Date | 06/23/2017 | Sample Unique Key | 8 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
Sample type | Independent Assurance | A brief description of the sample | A934 Purple Epoxy Coated Rebar |
The quantity of what the sample constitutes | 29937 lbs | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Jeff | Last name of sampler or witnessed by | Sulka |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Fletcher Coating Co | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
Structure name | Not set |
Material Information
Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 046517, 4064677, 4063145, 4064806 |
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Rebar Epoxy Batch Number(s) | 3529561 | Rebar Coating Specification | ASTM A934 |
Rebar Size (#) | 5, 9, 10, 11 | Rebar Coating Color | Purple |
Rebar Manufacturer | CMC Rebar | Rebar Coater | Fletcher Coating Company |
Rebar Powder Manufacturer | Axalta | Release Number | |
Quality Assurance Code |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |