Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2021-12-07-1

Project Information

Project IdentifiersProject ID: 88888
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location DescriptionNot set

Sample Information

Sample Taken Date12/07/2021 Sample Unique Key1
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 testingNot set
Sample typeRecertification A brief description of the sample#6 A775 Epoxy Coated Reinforcement
The quantity of what the sample constitutes2 samples From where was the sample collectedFabricator
First name of sampler or witnessed byVarun Last name of sampler or witnessed byShyam
Title of samplerTE Civil Telephone number of sampler3126469447
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameWestern Coating (Farwest) Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormB-3-700-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)1202037498
Rebar Epoxy Batch Number(s)XF92070NA Rebar Coating SpecificationASTM A775
Rebar Size (#)5 Rebar Coating ColorGreen
Rebar ManufacturerNucor Rebar CoaterWestern
Rebar Powder ManufacturerAkzonobel Release Number
Quality Assurance Code

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments