Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2024-05-29-1
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Project Information
| Project Identifiers | Project ID: 214698 DEA: 120N8904 EFIS: 1214000130 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-133-8.3/M9.3 |
| Award Date | 11/09/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT AUXILIARY LANE. |
| Location Description | ORANGE COUNTY IN IRVINE FROM ROUTE 133/405 SEPARATION TO IRVINE CENTER DRIVE OVERCROSSING |
| QA Service Level | 1 (Verified on 02/22/2021) |
Sample Information
| Sample Taken Date | 05/29/2024 | 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 | 05/31/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy Anchor Dowels |
| The quantity of what the sample constitutes | 130 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
| Title of sampler | QA Inspector | Telephone number of sampler | 5624420352 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Western Coatings | Transportation Laboratory (TL) Number | L140-041-24 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | 1201056569 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | CH3553NL | Rebar Coating Specification | ASTM A775 |
| Rebar Size (#) | 6 | Rebar Coating Color | Green |
| Rebar Manufacturer | Nucor | Rebar Coater | Western Coating Ogden UT |
| Rebar Powder Manufacturer | Sherwin Williams | Release Number | 211-E1, 212-E1, 212-ET,216-E1 |
| Quality Assurance Code |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-05-29-1-1 ASTM A775-19 (Verified)
DIME Test ID: 2024-05-29-1-2 ASTM A775-19 (Verified)