Sample Record
Owner Lab
- CT - Unassigned/General Field Laboratory
DIME Sample ID 2018-07-03-6
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Project Information
| Project Identifiers | Project ID: 212562 DEA: 024G5504 EFIS: 0214000036 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-2.7/R11.4 |
| Award Date | 03/12/2018 |
| Closeout Date | 10/05/2020 |
| Work Description | RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS |
| Location Description | SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS |
| QA Service Level | 1 (Verified on 04/04/2018) |
Sample Information
| Sample Taken Date | 07/03/2018 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 07/03/2018 |
| Sample type | Quality Assurance | A brief description of the sample | A934 Purple Epoxy Coated Rebar |
| The quantity of what the sample constitutes | xxx | From where was the sample collected | Source |
| First name of sampler or witnessed by | Tory | Last name of sampler or witnessed by | McLaurin |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 6616185971 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JC Supply | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | xxx |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | Rebar Coating Specification | ASTM A934 | |
| Rebar Size (#) | #6 | Rebar Coating Color | Purple |
| Rebar Manufacturer | Unknown | Rebar Coater | JC Supply And Manufacturing |
| Rebar Powder Manufacturer | Unknown | Release Number | Unknown |
| Quality Assurance Code | Unknown |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||