Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-07-17-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994901 DEA: 112T3434 EFIS: 1120000081 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-805-5.1/8.3 |
| Award Date | 01/29/2024 |
| Closeout Date | Not set |
| Work Description | SOUNDWALLS, WIDEN FREEWAY, STRUCTURES, LANDSCAPE AND ELECTRICAL. |
| Location Description | SAN DIEGO COUNTY IN CHULA VISTA FROM PALOMAR STREET OVERCROSSING TO 0.5 MILE NORTH OF BONITA ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 03/21/2024) |
Sample Information
| Sample Taken Date | 07/17/2025 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | Not set |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy Coated Dowel Bar1.5" x 18" |
| The quantity of what the sample constitutes | 200 pcs. | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Jacob | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 7606866753 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Highway Products | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L169-032-25 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 4400037190 |
|---|---|---|---|
| Dowel Epoxy Batch Number | AL63996NA | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Nucor | Dowel Coater | Simcote |
| Release Number | Quality Assurance Code | ||
| Rebar Size (#) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||