Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-05-19-1
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Project Information
| Project Identifiers | Project ID: 210914 DEA: 07306204 EFIS: 0714000151 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-91-R11.3/R20.7 |
| Award Date | 01/13/2016 |
| Closeout Date | 04/09/2019 |
| Work Description | ROADWAY REHABILITATION |
| Location Description | IN LOS ANGELES COUNTY, BETWEEN I-710 IN LONG BEACH AND 183RDSTREET IN CERRITOS |
| QA Service Level | 1 (Verified on 10/14/2016) |
Sample Information
| Sample Taken Date | 05/19/2017 | 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 | 05/22/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy Coated Dowel Basket |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Richard | Last name of sampler or witnessed by | Bettencourt |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 5594413230 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Dayton Superior Modesto | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S25-080-17 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 17102445 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 7396024285 | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Dayton Superior | Dowel Coater | Dayton Superior |
| Release Number | 1320744-1 | Quality Assurance Code | Unknown |
| Rebar Size (#) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-05-19-1-2 ASTM A884-13 (Verified)
DIME Test ID: 2017-05-19-1-3 ASTM A884-14 (Verified)