Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-10-24-1
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Project Information
| Project Identifiers | Project ID: 212566 DEA: 120Q8604 EFIS: 1217000117 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-11.0/19.6 |
| Award Date | 08/08/2017 |
| Closeout Date | 07/02/2021 |
| Work Description | SLAB REPLACEMENT (RSC), GRIND & GROOVE CONC PVMT, RHMA-G PVMT |
| Location Description | ORANGE COUNTY IN ORANGE, ANAHEIM, PLACENTIA, AND FULLERTON FROM 0.2 MILE SOUTH OF CHAPMAN AVENUE UNDERCROSSING TO ASSOCIATED ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/25/2017) |
Sample Information
| Sample Taken Date | 10/24/2017 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 10/30/2017 |
| Sample type | Recertification | A brief description of the sample | Epoxy Coated Dowels |
| The quantity of what the sample constitutes | 30 shipments | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Subramony | Last name of sampler or witnessed by | Krishnamoorthy |
| Title of sampler | Inspector | Telephone number of sampler | 951-436-6777 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | J C Supply - Manufacturing | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L88-026-17 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | Dowel Heat PL 16208488 |
|---|---|---|---|
| Rebar Epoxy Batch Number(s) | Rebar Coating Specification | ASTM A775 | |
| Rebar Size (#) | Dowel 1.5"X 18" | Rebar Coating Color | Green |
| Rebar Manufacturer | Dowel,Nucor | Rebar Coater | JC Supply And Manufacturing |
| Rebar Powder Manufacturer | Valspar | Release Number | Unknown |
| Quality Assurance Code | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-10-24-1-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2017-10-24-1-2 ASTM A775-07b-re14 (Verified)