Sample Record
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- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2018-05-29-3
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Project Information
| Project Identifiers | Project ID: 210808 DEA: 020E0904 EFIS: 0200000016 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R29.3/R31.1,R45.0/R45.8 |
| Award Date | 02/03/2016 |
| Closeout Date | 10/21/2020 |
| Work Description | REPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT |
| Location Description | IN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE. |
| QA Service Level | 1 (Verified on 09/23/2015) |
Sample Information
| Sample Taken Date | 05/29/2018 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 05/29/2018 |
| Sample type | Quality Assurance | A brief description of the sample | A934 Expoxy Rebar |
| The quantity of what the sample constitutes | Lot 1 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Lorenzo | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Unknown | Telephone number of sampler | 702 917-2503 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Fletcher Coating Co | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-059-18 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 1202000959 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | 8A25B179 8A26A173 | Rebar Coating Specification | ASTM A934 |
| Rebar Size (#) | #6 | Rebar Coating Color | Purple |
| Rebar Manufacturer | Nucor | Rebar Coater | C180167,C180167 |
| Rebar Powder Manufacturer | Fletcher Coating Company | 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: 2018-05-29-3-1 ASTM A934-13 (Verified)
DIME Test ID: 2018-05-29-3-2 ASTM A934-13 (Verified)