Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2019-06-11-1

Project Information

Project IdentifiersProject ID: 213852
DEA: 034F6004
EFIS: 0314000228
DIST-CO-RTE-PM03-NEV-80-1.2/R9.4
Award Date03/11/2019
Closeout DateNot set
Work DescriptionREMOVE METAL BEAM GUARD RAIL AND REPLACE WITH CONCRETE BARRIER
Location DescriptionNEVADA COUNTY IN AND NEAR TRUCKEE AT VARIOUS LOCATIONS FROM 1.3 MILES WEST OF SODA SPRINGS OVERCROSSING TO 0.3 MILE EAST OF DONNER LAKE UNDERCROSSING
QA Service Level1 (Verified on 01/08/2019)

Sample Information

Sample Taken Date06/11/2019 Sample Unique Key1
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 testing06/18/2019
Sample typeAcceptance A brief description of the sampleASTM A775 epoxy coated #5
The quantity of what the sample constitutes81340 From where was the sample collectedFabricator
First name of sampler or witnessed bySimion Last name of sampler or witnessed byRamirez
Title of samplerQA Inspector Telephone number of sampler909-701-7810
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar Brighton Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB376-24-19 Structure unique identifier
Structure nameConcrete barrier type-742B structural concrete barrier slab-epoxy

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)4086999, 4086739
Rebar Epoxy Batch Number(s)VB17543NA, VD45300NA Rebar Coating SpecificationASTM A775
Rebar Size (#)5 Rebar Coating ColorGreen
Rebar ManufacturerCMC Steel AZ Rebar CoaterCMC Rebar Brighton
Rebar Powder ManufacturerAkzo Nobel Release NumberUnknown
Quality Assurance CodeUnknown

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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