Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2020-05-01-2
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Project Information
| Project Identifiers | Project ID: 214190 DEA: 024G41U4 EFIS: 0218000047 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS,SIS-5-Var |
| Award Date | 08/26/2019 |
| Closeout Date | 11/24/2021 |
| Work Description | REPLACE REINFORCED CONCRETE BRIDGES & CONSTRUCT RETAINING WALL. |
| Location Description | SHASTA AND SISKIYOU COUNTIES ABOUT 7 MILES NORTH OF POLLARD FLAT FROM 0.8 MILE SOUTH TO 0.7 MILE NORTH OF SIMS ROAD UNDERCROSSING AND FROM 0.6 MILE SOUTH OF CASTLE CRAGS DRIVE UNDERCROSSING TO 0.2 MILE SOUTH OF SOUTH DUNSMUIR UNDERCROSSING |
| QA Service Level | 1 (Verified on 07/09/2019) |
Sample Information
| Sample Taken Date | 05/01/2020 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 05/05/2020 |
| Sample type | Department Acceptance | A brief description of the sample | #5 ASTM A775 Epoxy Coated Rebar |
| The quantity of what the sample constitutes | 12,803 lbs | From where was the sample collected | Job Site |
| 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 | S19-110-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 445119 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | 3CH1936008 | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 5 | Rebar Coating Color | Green |
| Rebar Manufacturer | Cascade | Rebar Coater | Western Coating Eugene OR |
| Rebar Powder Manufacturer | Valspar | Release Number | 45854 |
| Quality Assurance Code | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-05-01-2-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2020-05-01-2-3 ASTM A775-07b-re14 (Verified)