Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2021-12-07-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 12/07/2021 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Recertification | A brief description of the sample | #6 A775 Epoxy Coated Reinforcement |
| The quantity of what the sample constitutes | 2 samples | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Varun | Last name of sampler or witnessed by | Shyam |
| Title of sampler | TE Civil | Telephone number of sampler | 3126469447 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Coating (Farwest) | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B-3-700-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 1202037498 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | XF92070NA | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 5 | Rebar Coating Color | Green |
| Rebar Manufacturer | Nucor | Rebar Coater | Western |
| Rebar Powder Manufacturer | Akzonobel | Release Number | |
| Quality Assurance Code |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||