Sample Record

Owner Lab

  • CT - Unassigned/General Field Laboratory

DIME Sample ID 2017-12-04-1

Project Information

Project IdentifiersProject ID: 211856
DEA: 11408604
EFIS: 1112000016
DIST-CO-RTE-PM11-SD-8-T0.5/R0.7
Award Date02/01/2017
Closeout Date09/07/2018
Work DescriptionCOLD PLANE AND OVERLAY WITH RHMA, GRIND PCC, MGS AND END TREATMENTS.
Location DescriptionSAN DIEGO COUNTY IN SAN DIEGO FROM NIMITZ BOULEVARD TO 0.2 MILE WEST OF PRESIDIO PARK OVERCROSSING
QA Service Level1 (Verified on 04/03/2017)

Sample Information

Sample Taken Date12/04/2017 Sample Unique Key1
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 testing12/04/2017
Sample typeQuality Assurance A brief description of the sampleASTM A934 Rebar
The quantity of what the sample constitutes2 From where was the sample collectedSource
First name of sampler or witnessed byTory Last name of sampler or witnessed byMcLaurin
Title of samplerUnknown Telephone number of sampler6616185971
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameFletcher Coating Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormL67-281-17 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)xxx
Rebar Epoxy Batch Number(s)xxx Rebar Coating SpecificationASTM A934
Rebar Size (#)#4 Rebar Coating ColorPurple
Rebar ManufacturerUnknown Rebar CoaterUnknown
Rebar Powder ManufacturerUnknown Release Numberxxxx
Quality Assurance Codexxx

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments