Sample Record
DIME Sample ID 2021-10-22-5
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Project Information
| Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
| Award Date | 02/05/2021 |
| Closeout Date | Not set |
| Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
| Location Description | IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE. |
| QA Service Level | 1 (Verified on 03/24/2021) |
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Information
| Sample Taken Date | 10/22/2021 | Sample Unique Key | 5 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 10/26/2021 | Sample type | Verification |
| A brief description of the sample | Epoxy Coated Dowel Basket | The quantity of what the sample constitutes | 2 |
| From where was the sample collected | Fabricator | First name of sampler or witnessed by | Arthur |
| Last name of sampler or witnessed by | Peterson | Title of sampler | |
| Telephone number of sampler | 7073428602 | 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 | L110-142-21 | |
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 201860 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 3CH2112012 3CH2117043 | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | American Highway Simplex | Dowel Coater | American Highway Simplex |
| Release Number | Quality Assurance Code | ||
| Rebar Size (#) | #12 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-10-22-5-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2021-10-22-5-2 ASTM A775-07b-re14 (Verified)