Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2018-10-24-7
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Project Information
| Project Identifiers | Project ID: 213021 DEA: 010C7504 EFIS: 0113000046 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-29-9.6/10.3 |
| Award Date | 03/22/2018 |
| Closeout Date | 11/17/2020 |
| Work Description | CONSTRUCT ROUNDABOUT |
| Location Description | LAKE COUNTY NEAR MIDDLETOWN FROM PUTAH LANE TO 0.3 MILE NORTH OF SPRUCE ROAD |
| QA Service Level | 1 (Verified on 04/27/2018) |
Sample Information
| Sample Taken Date | 10/24/2018 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 10/29/2018 |
| Sample type | Quality Assurance | A brief description of the sample | ASTM A934 Dowel Bars |
| The quantity of what the sample constitutes | 250 | 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 | 7077918219 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | J C Supply - Manufacturing | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L48-133-18 | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 1201005044 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 8496026963 | Dowel Coating Specification | ASTM A934 |
| Dowel Size | 1.25 in | Dowel Coating Color | Purple |
| Dowel Manufacturer | Nucor | Dowel Coater | J C Supply Manufacturing |
| Release Number | Quality Assurance Code | ||
| Rebar Size (#) | 1.25 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-10-24-7-1 ASTM A884-14 (Verified)
DIME Test ID: 2018-10-24-7-2 ASTM A884-13 (Verified)