Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2026-02-18-2

Project Information

Project IdentifiersProject ID: 1001308
DEA: 081L1804
EFIS: 0819000162
DIST-CO-RTE-PM08-RIV-91-13.5/16.8
Award DateNot set
Closeout DateNot set
Work DescriptionJPCP (RSC), INDIVIDUAL SLAB REPLACEMENT (RSC) & RUBBERIZED HMA.
Location DescriptionRIVERSIDE COUNTY IN RIVERSIDE FROM 0.6 MILE WEST OF VAN BUREN BOULEVARD OVERCROSSING TO 0.2 MILE EAST OF MADISON STREET UNDERCROSSING.
QA Service Level1 (Verified on 06/24/2025)

Sample Information

Sample Taken Date02/18/2026 Sample Unique Key2
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 testing02/23/2026
Sample typeQuality Assurance A brief description of the sample1.5" x 18" @ 12" OC Epoxy Coated Dowel Bar Baskets
The quantity of what the sample constitutes470 Dowel Bar Baskets From where was the sample collectedManufacturer
First name of sampler or witnessed byJacob Last name of sampler or witnessed byGarcia
Title of samplerQuality Assurance Inspector Telephone number of sampler7606866753
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePacific Highway Products Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL169-030-26 Structure unique identifier
Structure name Bid Item57 - JOINTED PLAIN CONCRETE PAVEMENT (RSC)

Material Information

Material TypeSMTL TM7 - Epoxy Coated Dowels Dowel Metal Heat NumberDowel 4400038058 Wire1000131800
Dowel Epoxy Batch NumberCH2375VC Dowel Coating SpecificationASTM A775
Dowel Size1.5 in Dowel Coating ColorGreen
Dowel ManufacturerNucor Dowel CoaterSimcote
Release Number Quality Assurance Code
Rebar Size (#)

Submitted Tests

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