Sample Record

Owner Lab

  • CT QASI - Bay Area Field Laboratory

DIME Sample ID 2019-06-20-10

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 Date06/20/2019 Sample Unique Key10
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 testingNot set
Sample typeAcceptance A brief description of the sample#4 epoxy rebar
The quantity of what the sample constitutes2 ea heat From where was the sample collectedManufacturer
First name of sampler or witnessed byRyan Last name of sampler or witnessed byParr
Title of samplerQAI Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB373-032-19 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)4078132
Rebar Epoxy Batch Number(s)VD48036NA Rebar Coating SpecificationASTM A775
Rebar Size (#)4 Rebar Coating ColorGreen
Rebar ManufacturerCMC Rebar Rebar CoaterCMC Rebar Brighton
Rebar Powder Manufacturer Release Number
Quality Assurance Code

Submitted Tests

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