Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2020-04-14-5
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Project Information
| Project Identifiers | Project ID: 214449 DEA: 030H3414 EFIS: 0317000152 |
|---|---|
| DIST-CO-RTE-PM | 03-ED-50-R28.5/R29.1,R31.2 |
| Award Date | 12/09/2019 |
| Closeout Date | 07/06/2021 |
| Work Description | REPLACE BRIDGE, RESTORE CULVERTS, AND ADD HIGHWAY PLANTING. |
| Location Description | EL DORADO COUNTY NEAR POLLOCK PINES FROM 0.3 MILE WEST TO 0.3 MILE EAST OF RIDGEWAY DRIVE UNDERCROSSING AND AT 0.1 MILE WEST OF SLY PARK ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/23/2019) |
Sample Information
| Sample Taken Date | 04/14/2020 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 04/15/2020 |
| Sample type | Department Acceptance | A brief description of the sample | #6 A775 Rebar |
| The quantity of what the sample constitutes | 676 | From where was the sample collected | Fabricator |
| 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 | S19-105-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 410919 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | 3CH1923107 | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 6 | Rebar Coating Color | Green |
| Rebar Manufacturer | Cascade | Rebar Coater | Western Coating Eugene OR |
| Rebar Powder Manufacturer | Valspar | Release Number | 45850 |
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-04-14-5-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2020-04-14-5-2 ASTM A775-07b-re14 (Verified)