Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-07-20-11
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Project Information
| Project Identifiers | Project ID: 211070 DEA: 080Q3004 EFIS: 0800020191 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-138-R17.1/R19.2 |
| Award Date | 04/18/2016 |
| Closeout Date | 09/28/2020 |
| Work Description | REALIGN SECTION OF STATE ROUTE 138 |
| Location Description | Near Hesperia from 1.9 mi East of Route 15 to 0.1 mi West of Summit Post Office Road to realign sections of State Route 138 |
| QA Service Level | 1 (Verified on 04/27/2016) |
Sample Information
| Sample Taken Date | 07/20/2017 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 07/25/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy Coated Rebar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Flygare |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Western Coating | Transportation Laboratory (TL) Number | C719141 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B7610017 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 4067179 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | TD95852NA | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 5 | Rebar Coating Color | Green |
| Rebar Manufacturer | CMC | Rebar Coater | Western Coating |
| Rebar Powder Manufacturer | Unknown | Release Number | Unknown |
| Quality Assurance Code | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-07-20-11-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2017-07-20-11-2 ASTM A775-07b-re14 (Verified)