Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2018-12-20-2

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date12/20/2018 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing12/26/2018
Sample typeQuality Assurance A brief description of the sampleNo 8 epoxy coated rebar
The quantity of what the sample constitutes1 lot From where was the sample collectedManufacturer
First name of sampler or witnessed byRussell Last name of sampler or witnessed byLynch
Title of samplerQAI Telephone number of sampler360-921-6934
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFletcher Coating Co Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL96-144-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)4081483, 4081484
Rebar Epoxy Batch Number(s) Rebar Coating SpecificationASTM A934
Rebar Size (#)8 Rebar Coating ColorPurple
Rebar ManufacturerCMC Rebar Rebar CoaterFletcher Coating Company
Rebar Powder Manufacturer3M Release Number
Quality Assurance CodeA93418L19R2S18J27

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-12-20-2-1ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory12/26/2018Fred Saylor
Yes
01/02/2019
2018-12-20-2-2ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory12/26/2018Fred Saylor
Yes
01/02/2019