Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2025-12-16-3
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Project Information
| Project Identifiers | Project ID: 1001201 DEA: 120S5304 EFIS: 1220000087 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-15.9 |
| Award Date | 09/05/2025 |
| Closeout Date | Not set |
| Work Description | PLACE JPCP (RSC) AND HMA, MODIFY RAMP AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN ANAHEIM AT SOUTHBOUND ROUTE 57 OFF-RAMP TO WESTBOUND ROUTE 91 |
| QA Service Level | 1 (Verified on 05/05/2025) |
Sample Information
| Sample Taken Date | 12/16/2025 | 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 | 12/16/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 1.5"x 18" Loose Dowels |
| The quantity of what the sample constitutes | 200 EA | 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 | CT 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 | L191-051-25 | Structure unique identifier | |
| Structure name | Bid Item | 35 - JOINTED PLAIN CONCRETE PAVEMENT (RSC) |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 4400037190 |
|---|---|---|---|
| Dowel Epoxy Batch Number | AL63996NA | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Nucor | Dowel Coater | Simcote |
| 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: 2025-12-16-3-1 ASTM A775-19 (Verified)
DIME Test ID: 2025-12-16-3-2 ASTM A775-19 (Verified)