Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2018-11-28-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 211778 DEA: 04235654 EFIS: 0400000680 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101,114-1.3/2.5,5.0/5.3 |
| Award Date | 02/10/2017 |
| Closeout Date | 01/08/2020 |
| Work Description | RECONSTRUCT INTERCHANGE |
| Location Description | SAN MATEO COUNTY AT VARIOUS LOCATIONS ON ROUTE 101 FROM 0.4 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.6 MILE SOUTH OF HENDERSON UNDERPASS AND ON ROUTE 114 FROM WILLOW ROAD SEPARATION TO NEWBRIDGE STREET |
| QA Service Level | 1 (Verified on 10/24/2016) |
Sample Information
| Sample Taken Date | 11/28/2018 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 11/30/2018 |
| Sample type | Quality Assurance | A brief description of the sample | 8 A775 epoxy coated rebar |
| The quantity of what the sample constitutes | 1,079 lbs. / 1 shipment | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Zartman |
| Title of sampler | CMC GM | Telephone number of sampler | (303)558-1434 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | CMC Rebar Colorado | 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) | 4077979 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | UG13643NA | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 8 | Rebar Coating Color | Green |
| Rebar Manufacturer | CMC | Rebar Coater | CMC |
| Rebar Powder Manufacturer | Resicoat | Release Number | 89EG |
| 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. | |||