Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-04-30-1
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Project Information
| Project Identifiers | Project ID: 213569 DEA: 024F2104 EFIS: 0212000072 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD-299-0.5/1.0 |
| Award Date | 12/20/2018 |
| Closeout Date | 11/15/2021 |
| Work Description | Butte and Ash Creek Bridge Replacement |
| Location Description | Construction of Butte Creek Bridge and Ash Creek Bridge on Route 299 at Adin |
| QA Service Level | 1 (Verified on 06/26/2019) |
Sample Information
| Sample Taken Date | 04/30/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 04/30/2019 |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy Coated Rebar |
| The quantity of what the sample constitutes | 3 | 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 | QA | Telephone number of sampler | 702 917-2503 |
| Laboratory sample identification | C190753 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | CMC Rebar Colorado | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L115-063-19 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 4085519 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | VB17543NA | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 4 | Rebar Coating Color | Green |
| Rebar Manufacturer | CMC Rebar | Rebar Coater | AkzoNobel |
| Rebar Powder Manufacturer | AKZOnOBEL | 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: 2019-04-30-1-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2019-04-30-1-2 ASTM A775-07b-re14 (Verified)