Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2025-10-16-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000576 DEA: 120R3134 EFIS: 1220000025 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-91-6.4/R9.2 |
| Award Date | 11/26/2024 |
| Closeout Date | Not set |
| Work Description | PLACE JPCP, REMOVE CONC PVMT AND BASE, AND MODIFY ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN ANAHEIM FROM 0.3 MILE EAST OF ROUTE 91/57 SEPARATION TO 0.1 MILE EAST OF ROUTE 91/55 SEPARATION |
| QA Service Level | 1 (Verified on 10/17/2024) |
Sample Information
| Sample Taken Date | 10/16/2025 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 10/21/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 1.5" x 18" @12" OC Dowel Bar Baskets |
| The quantity of what the sample constitutes | 1250 pcs Dowel Bar Baskets | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Joaquin | Last name of sampler or witnessed by | Moreno |
| Title of sampler | Joaquin | Telephone number of sampler | 9095268064 |
| 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 | L161-021-25 | Structure unique identifier | |
| Structure name | Bid Item | 44 - DRILL AND BOND (DOWEL BAR) |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | Dowel Heat 4400038058, 4400038061 Wire Heat 965320 |
|---|---|---|---|
| Dowel Epoxy Batch Number | CH1255YE | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Nucor Steel | Dowel Coater | Simcote Inc |
| Release Number | Quality Assurance Code | ||
| Rebar Size (#) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-10-16-4-1 ASTM A884-19e20 (Verified)
DIME Test ID: 2025-10-16-4-2 ASTM A884-19e20 (Verified)