Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-03-09-1
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Project Information
| Project Identifiers | Project ID: 214937 DEA: 11288834 EFIS: 1117000088 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-11,125,905-various |
| Award Date | 07/28/2020 |
| Closeout Date | 03/05/2024 |
| Work Description | CONSTRUCT CONCRETE BRIDGE, PAVEMENT, BARRIER, AND INSTALL LIGHTING. HPLUL-6211(133) SR-125 SB to WB SR-905 |
| Location Description | SAN DIEGO COUNTY IN AND NEAR SAN DIEGO AT ROUTE 11/125/905 SEPARATION |
| QA Service Level | 1 (Verified on 09/04/2020) |
Sample Information
| Sample Taken Date | 03/09/2021 | 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 | 03/17/2021 |
| Sample type | Recertification | A brief description of the sample | Epoxy Coated Rebar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Carpenter |
| Title of sampler | QA | Telephone number of sampler | 415-608-1742 |
| Laboratory sample identification | Linked DIME Sample ID | NA | |
| The fabricator/manufacturer/facility name | CMC Rebar | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B24-015-2021 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 4105690 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | WM25426NA | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 5 | Rebar Coating Color | Green |
| Rebar Manufacturer | CMC | Rebar Coater | CMC Brighton CO |
| Rebar Powder Manufacturer | Akzo Noble Coating | Release Number | 1 |
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-03-09-1-2 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2021-03-09-1-4 ASTM A775-07b-re14 (Verified)