Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2022-08-26-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212498 DEA: 021H5204 EFIS: 0217000009 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-3,263-48.5/49.7 - 49.41 |
| Award Date | 06/09/2023 |
| Closeout Date | Not set |
| Work Description | Roadway Rehabilitation |
| Location Description | 02-Sis-3, 263-R46.8/R48.0, 49.07/49.41 |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 08/26/2022 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | Quality Assurance | A brief description of the sample | Tie bar assemblies |
| The quantity of what the sample constitutes | 204 each Uleg ST 28" | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Edward | Last name of sampler or witnessed by | Leach |
| Title of sampler | QAI | Telephone number of sampler | 7072903887 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American Highway | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S38-058-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | B-1202042220 W-12021041685 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | ch1032BV CCL-3ch2149022 | Rebar Coating Specification | ASTM A934 |
| Rebar Size (#) | 1.25" x 18" | Rebar Coating Color | Purple |
| Rebar Manufacturer | Nucor | Rebar Coater | American Highway |
| Rebar Powder Manufacturer | Sherwin WIlliams | 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. | |||