Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-05-27-15
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Project Information
| Project Identifiers | Project ID: 215522 DEA: 112N0994 EFIS: 1121000028 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-8-R32.0/R44.0 |
| Award Date | 04/12/2021 |
| Closeout Date | 08/02/2022 |
| Work Description | REPLACE INDIVIDUAL SLABS AND JOINT SEAL, COLD PLANE AND PAVE WITH HMA. |
| Location Description | SAN DIEGO COUNTY NEAR ALPINE FROM 0.2 MILE EAST OF VIEJAS CREEK BRIDGE TO 0.9 MILE WEST OF SUNRISE HIGHWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 06/03/2021) |
Sample Information
| Sample Taken Date | 05/27/2021 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 06/02/2021 |
| Sample type | Quality Assurance | A brief description of the sample | Fully Coated Dowel Baskets |
| The quantity of what the sample constitutes | 120 dowel baskets | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Mahlon | Last name of sampler or witnessed by | Lindenmuth |
| Title of sampler | CT METS QA INSPECTOR | Telephone number of sampler | 646-740-3704 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Simplex | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S46-810-21 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 295520 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 9CH2050060 | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.25 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Simplex | Dowel Coater | Simplex |
| 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: 2021-05-27-15-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2021-05-27-15-2 ASTM A884-13 (Verified)