Sample Record
Owner Lab
- CT HQ - QASI Bay Area Field Office
DIME Sample ID 2026-08-20-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1002077 DEA: 033H5904 EFIS: 0318000017 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-80-R26.3/R55.2 |
| Award Date | 01/08/2026 |
| Closeout Date | Not set |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 04/07/2026) |
Sample Information
| Sample Taken Date | 08/20/2026 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 08/21/2026 |
| Sample type | Verification | A brief description of the sample | A775 1.5 dowel bar |
| The quantity of what the sample constitutes | 40,800 LBS | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
| Title of sampler | Quality Assurance Inspector | Telephone number of sampler | 9168266371 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American Highway - Simplex | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B22-047-26 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 120107925720 |
|---|---|---|---|
| Dowel Epoxy Batch Number | CH1466HH | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Nucor | Dowel Coater | American Highway Simplex |
| 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. | |||