Sample Record
Owner Labs
- CT HQ - QASI Sacramento Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2020-07-22-2
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Project Information
| Project Identifiers | Project ID: 214481 DEA: 073118U4 EFIS: 0719000209 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-107-0.0/4.8 |
| Award Date | 12/31/2019 |
| Closeout Date | 11/03/2021 |
| Work Description | PLACE RHMA AND JPCP, AND MODIFY ELECTRICAL SYSTEM. |
| Location Description | LOS ANGELES COUNTY IN TORRANCE FROM ROUTE 1 TO REDONDO BEACH BOULEVARD |
| QA Service Level | 1 (Verified on 02/28/2020) |
Sample Information
| Sample Taken Date | 07/22/2020 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 07/22/2020 |
| Sample type | Quality Assurance | A brief description of the sample | Dowel basket and wire |
| The quantity of what the sample constitutes | 1 epoxy coated dowel basket 12 bar | From where was the sample collected | Source |
| First name of sampler or witnessed by | Armando | Last name of sampler or witnessed by | Contreras |
| Title of sampler | Assistand Materials Rep | Telephone number of sampler | 9495178520 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Simplex - Fernley, NV | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 1202022488 |
|---|---|---|---|
| Dowel Epoxy Batch Number | Dowel Coating Specification | ASTM A775 | |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Dowel Coater | Simplex JC Supply | |
| 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: 2020-07-22-2-1 ASTM A884-13 (Verified)
DIME Test ID: 2020-07-22-2-2 ASTM A884-14 (Verified)