Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2019-06-20-11
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 213357 DEA: 024F2004 EFIS: 0212000071 |
|---|---|
| DIST-CO-RTE-PM | 02-SHA-44-59.4/59.8 |
| Award Date | 11/02/2018 |
| Closeout Date | 01/04/2021 |
| Work Description | BRIDGE REPLACEMENT |
| Location Description | SHASTA COUNTY NEAR OLD STATION FROM 0.3 MILE WEST TO 0.2 MILE EAST OF HAT CREEK BRIDGE |
| QA Service Level | 1 (Verified on 06/21/2018) |
Sample Information
| Sample Taken Date | 06/20/2019 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 testing | Not set |
| Sample type | Acceptance | A brief description of the sample | #5 epoxy rebar |
| The quantity of what the sample constitutes | 2 ea heat | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ryan | Last name of sampler or witnessed by | Parr |
| Title of sampler | QAI | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B373-029-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 4086972, 4086945 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | VD48036NA | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 5 | Rebar Coating Color | Green |
| Rebar Manufacturer | CMC Rebar | Rebar Coater | CMC Rebar Brighton |
| Rebar Powder Manufacturer | Release Number | ||
| Quality Assurance Code |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||