Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-08-31-3
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Project Information
| Project Identifiers | Project ID: 211394 DEA: 100G8204 EFIS: 1013000073 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ-132-0.4/7.1 |
| Award Date | 07/20/2016 |
| Closeout Date | 01/04/2021 |
| Work Description | REPAIR PAVEMENT AND INSTALL ITS ELEMENTS. |
| Location Description | SAN JOAQUIN COUNTY NEAR VERNALIS FROM 0.4 MILE EAST OF ROUTE 580 TO STANISLAUS COUNTY LINE |
| QA Service Level | 1 (Verified on 09/23/2016) |
Sample Information
| Sample Taken Date | 08/31/2017 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 09/01/2017 |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy Coated Dowel Basket |
| The quantity of what the sample constitutes | 400 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | James | Last name of sampler or witnessed by | Doe |
| Title of sampler | QA Inspector | Telephone number of sampler | 5109184918 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Dayton Superior Corporation | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B358-065-17 | 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 | SE17102265, PL17102440 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 7396024285 7196023954 | Dowel Coating Specification | ASTM A884 |
| Dowel Size | 1.25 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Nucor | Dowel Coater | Dayton Superior |
| Release Number | 1349571-4 | Quality Assurance Code | Unknown |
| Rebar Size (#) | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-08-31-3-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2017-08-31-3-2 ASTM A775-07b-re14 (Verified)