Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-10-16-1
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Project Information
| Project Identifiers | Project ID: 213916 DEA: 06484664 EFIS: 0618000213 COOP: 061681 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-58,99-R52.1/R52.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | RT 58/99 BAKERSFIELD FREEWAY CONNECTOR -widening the existing SR 58/SR 99 grade separation structure and realigning the Westbound to Southbound loop connector. Auxiliary lane and collector-distributor lanes on Southbound SR 99. |
| Location Description | SR 58/SR 99 |
| QA Service Level | 2 (Verified on 03/12/2021) |
Sample Information
| Sample Taken Date | 10/16/2019 | 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 | 10/18/2019 |
| Sample type | Acceptance | A brief description of the sample | #8 A775 Epoxy Coated Rebar |
| The quantity of what the sample constitutes | 13945lbs | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Muser |
| Title of sampler | QA | Telephone number of sampler | 9165170532 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Coatings | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-325-19 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 1201013127 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | VG86261NA | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 8 | Rebar Coating Color | Green |
| Rebar Manufacturer | Nucor | Rebar Coater | Western Coating |
| Rebar Powder Manufacturer | AkzoNobel | Release Number | 382 |
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-10-16-1-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2019-10-16-1-2 ASTM A775-07b-re14 (Verified)