Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-11-25-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000081 DEA: 081J5404 EFIS: 0818000069 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-2.4 |
| Award Date | 04/02/2025 |
| Closeout Date | Not set |
| Work Description | CB, JPCP (RSC), STRUCTURAL CONCRETE AND MODIFYING LIGHTING SYSTEMS. |
| Location Description | SAN BERNARDINO COUNTY IN ONTARIO AT ROUTE 10/15 SEPARATION |
| QA Service Level | 1 (Verified on 02/06/2024) |
Sample Information
| Sample Taken Date | 11/25/2025 | 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 | 12/02/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 1.5"X 30" |
| The quantity of what the sample constitutes | 1620 LF | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Alexis | Last name of sampler or witnessed by | Millan |
| Title of sampler | CA METS QA Inspector | Telephone number of sampler | 9097569960 |
| 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 | L191-038-25 | Structure unique identifier | |
| Structure name | Bid Item | 46 - JOINTED PLAIN CONCRETE PAVEMENT |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 4400038064 |
|---|---|---|---|
| Dowel Epoxy Batch Number | CH1255YE | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | 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. | |||