Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-09-27-4
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Project Information
| Project Identifiers | Project ID: 994588 DEA: 081H3904 EFIS: 0817000032 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R20.5/R21.6,R25.5/R30.7 |
| Award Date | 07/13/2023 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT BUILDING, ROADWAY EXC, JPCP, AND TEMPORARY BARRIER SYSTEM. |
| Location Description | SAN BERNARDINO COUNTY FROM 0.6 MILE NORTH OF CLEGHORN ROAD UNDERCROSSING TO 0.5 MILE SOUTH OF ROUTE 138 AND FROM 0.5 MILE SOUTH OF TRUCK SAFETY CHECK AREA TO 0.4 MILE NORTH OF OAK HILL ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 08/02/2023) |
Sample Information
| Sample Taken Date | 09/27/2024 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 10/01/2024 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM A934 1 1/2" Purple Epoxy Coated Loose Dowel Bars |
| The quantity of what the sample constitutes | 926 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Levi | Last name of sampler or witnessed by | Pivoda |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 9152961871 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American Highway - Simplex | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 1201059585 |
|---|---|---|---|
| Dowel Epoxy Batch Number | CH2613TV CH1644GF | Dowel Coating Specification | ASTM A934 |
| Dowel Size | 1.5 in | Dowel Coating Color | Purple |
| Dowel Manufacturer | Dowel Coater | American Highway Simplex | |
| Release Number | Quality Assurance Code | ||
| Rebar Size (#) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-27-4-1 ASTM A884-19e20 (Verified)
DIME Test ID: 2024-09-27-4-2 ASTM A884-19e20 (Verified)