Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2017-06-23-8

Project Information

Project IdentifiersProject ID: 208945
DEA: 07288604
EFIS: 0700021080
COOP: 074663
DIST-CO-RTE-PM07-LA-710-6.0-9.4
Award Date09/02/2011
Closeout DateNot set
Work DescriptionGerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.
Location DescriptionPort of Long Beach (District 7)
QA Service Level1 (Verified on 06/03/2013)

Sample Information

Sample Taken Date06/23/2017 Sample Unique Key8
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 testingNot set
Sample typeIndependent Assurance A brief description of the sampleA934 Purple Epoxy Coated Rebar
The quantity of what the sample constitutes29937 lbs From where was the sample collectedManufacturer
First name of sampler or witnessed byJeff Last name of sampler or witnessed bySulka
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFletcher Coating Co Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)046517, 4064677, 4063145, 4064806
Rebar Epoxy Batch Number(s)3529561 Rebar Coating SpecificationASTM A934
Rebar Size (#)5, 9, 10, 11 Rebar Coating ColorPurple
Rebar ManufacturerCMC Rebar Rebar CoaterFletcher Coating Company
Rebar Powder ManufacturerAxalta Release Number
Quality Assurance Code

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments