Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-07-28-6
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Project Information
| Project Identifiers | Project ID: 209732 DEA: 072881U4 EFIS: 0714000085 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R16.1/R25.8 |
| Award Date | 02/06/2015 |
| Closeout Date | 02/18/2020 |
| Work Description | CONSTRUCT CONCRETE PAVEMENT, PRECAST CONCRETE PANELS, AND SLABS. |
| Location Description | LOS ANGELES COUNTY IN LA CANADA FLINTRIDGE, GLENDALE AND PASADENA FROM DUNSMORE AVENUE UNDERCROSSING TO NORTH LOS ROBLES AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 11/04/2014) |
Sample Information
| Sample Taken Date | 07/28/2017 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 08/01/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy Coated Dowel Bar |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jeffrey | Last name of sampler or witnessed by | Sulka |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JC Supply Manufacturing | Transportation Laboratory (TL) Number | C970787 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L8103617 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | PL17102418 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 7596024672 | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.25 in | Dowel Coating Color | Green |
| Dowel Manufacturer | JC Supply And Manufacturing | Dowel Coater | JC Supply And Manufacturing |
| Release Number | Unknown | 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: 2017-07-28-6-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2017-07-28-6-2 ASTM A934-13 (Verified)