Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-04-03-6
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Project Information
| Project Identifiers | Project ID: 213469 DEA: 024C40V4 EFIS: 0218000125 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-5-R3.8/R11.7 |
| Award Date | 11/06/2018 |
| Closeout Date | 08/16/2023 |
| Work Description | WIDEN TO 6 LANES, BRIDGE REPLACEMENT AND WIDENING AND ROADWAY REHAB |
| Location Description | SHASTA COUNTY IN AND NEAR ANDERSON FROM ROUTE 5/273 SEPARATION TO 0.4 MILE SOUTH OF CHURN CREEK ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 12/31/2018) |
Sample Information
| Sample Taken Date | 04/03/2019 | 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 | 04/05/2019 |
| Sample type | Quality Assurance | A brief description of the sample | #6 A775 Epoxy Rebar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Rob | Last name of sampler or witnessed by | RAMOS |
| Title of sampler | QA | Telephone number of sampler | 916-996-2658 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Brighton CO | Transportation Laboratory (TL) Number | C874402 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S08-057-19 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 4078504 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | VA04353 | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 6 | Rebar Coating Color | Green |
| Rebar Manufacturer | CMC Steel AZ | Rebar Coater | CMC Brighton CO |
| Rebar Powder Manufacturer | AKZOnOBEL | Release Number | 204EG, 505EG,601EG, 1TOT1 |
| Quality Assurance Code | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-04-03-6-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2019-04-03-6-2 ASTM A775-07b-re14 (Verified)