Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2020-12-09-3
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Project Information
| Project Identifiers | Project ID: 214397 DEA: 120N3204 EFIS: 1213000196 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-91-R9.8/R18.9 |
| Award Date | 11/07/2019 |
| Closeout Date | 07/01/2022 |
| Work Description | CONST PRECAST SLAB REPLACEMENT, COLD PLANE AC PVMT AND PLACE RHMA. |
| Location Description | ORANGE COUNTY IN ANAHEIM AND YORBA LINDA FROM 0.3 MILE WEST OF LAKEVIEW AVENUE OVERCROSSING TO RIVERSIDE COUNTY LINE |
| QA Service Level | 1 (Verified on 12/02/2019) |
Sample Information
| Sample Taken Date | 12/09/2020 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 12/23/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy Coated Loose Dowels |
| The quantity of what the sample constitutes | 2860 bars | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Oscar | Last name of sampler or witnessed by | Vizcaino |
| Title of sampler | QA | Telephone number of sampler | 6787558969 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Construction Materials, Inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B378-111-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 7011000 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | 4792141 | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 1-1/4" x 18' | Rebar Coating Color | Green |
| Rebar Manufacturer | CMC | Rebar Coater | Construction Materials Inc |
| Rebar Powder Manufacturer | Release Number | ||
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-12-09-3-1 ASTM A884-14 (Verified)
DIME Test ID: 2020-12-09-3-2 ASTM A884-13 (Verified)