Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-09-19-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000612 DEA: 120R57U4 EFIS: 1223000131 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-405-11.4/24.2 |
| Award Date | 01/14/2025 |
| Closeout Date | Not set |
| Work Description | PLACE JPCP (RSC) AND RHMA, AND MODIFY ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY FROM HARBOR BOULEVARD UNDERCROSSING IN COSTA MESA TO LOS ANGELES COUNTY LINE AT ROSSMOOR |
| QA Service Level | 1 (Verified on 09/30/2024) |
Sample Information
| Sample Taken Date | 09/19/2025 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 09/22/2025 |
| Sample type | Retest | A brief description of the sample | 1.25' x 18" Dowel |
| The quantity of what the sample constitutes | 2500 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jayce | Last name of sampler or witnessed by | Groves |
| Title of sampler | Telephone number of sampler | 562 658 6112 | |
| 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 | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 4400038886 |
|---|---|---|---|
| Dowel Epoxy Batch Number | BD40130NA | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.25 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Nucor | Dowel Coater | Simcote |
| Release Number | L196-014-25 | Quality Assurance Code | L196 |
| Rebar Size (#) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-09-19-1-1 ASTM A884-19e20 (Verified)
DIME Test ID: 2025-09-19-1-2 ASTM A884-19e20 (Verified)