Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-05-19-4
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215063 DEA: 032F5704 EFIS: 0300020615 |
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DIST-CO-RTE-PM | 03-PLA-80-46.3/63.5 |
Award Date | 11/02/2020 |
Closeout Date | Not set |
Work Description | Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay) |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/16/2020) |
Sample Information
Sample Taken Date | 05/19/2021 | Sample Unique Key | 4 |
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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 | 05/24/2021 |
Sample type | Quality Assurance | A brief description of the sample | # 8 Epoxy Coated Audit Sample |
The quantity of what the sample constitutes | Sample testing for audit findings | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Lund |
Title of sampler | CT QA METS Inspector | Telephone number of sampler | 3854470624 |
Laboratory sample identification | na | Linked DIME Sample ID | na |
The fabricator/manufacturer/facility name | Western Coatings Ogden, UT | Transportation Laboratory (TL) Number | na |
Inspector Lot Number from the Transportation Laboratory (TL) Form | B390-066-21 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 1202031306 1201031565 |
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Rebar Epoxy Batch Number(s) | C210835 | Rebar Coating Specification | ASTM A775 |
Rebar Size (#) | 8 | Rebar Coating Color | Green |
Rebar Manufacturer | Nucor | Rebar Coater | Western Coating Ogden UT |
Rebar Powder Manufacturer | Pureflex Green | Release Number | ERSS332252SS-FH9 |
Quality Assurance Code |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-05-19-4-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2021-05-19-4-2 ASTM A775-07b-re14 (Verified)