Sample Record

DIME Sample ID 2023-06-08-8

Project Information

Project IdentifiersProject ID: 994780
DEA: 070W3304
EFIS: 0721000265
DIST-CO-RTE-PM07-LA-10-19.5/29.5
Award Date03/13/2023
Closeout Date03/14/2025
Work DescriptionLOS ANGELES COUNTY FROM EVERGREEN AVENUE PEDESTRIAN OVERCROSSING IN LOS ANGELES TO VALLEY BOULEVARD UNDERCROSSING IN EL MONTE
Location DescriptionDIGOUTS, SLURRY SEAL, COLD PLANE OVERLAY,
QA Service Level1 (Verified on 06/07/2023)

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

Sample Information

Sample Taken Date06/08/2023 Sample Unique Key8
Date that the sample was received by the laboratory/organization performing the testing06/08/2023 Sample typeQuality Assurance
A brief description of the sampleEpoxy Sample The quantity of what the sample constitutes4 oz of AkzoNobel RB-600 Epoxy
From where was the sample collectedFabricator First name of sampler or witnessed byHenry
Last name of sampler or witnessed byArredondo Title of samplerCALTRANS METS QA INSPECTOR
Telephone number of sampler5623329603 Laboratory sample identification
Linked DIME Sample ID2023-06-08-7 The fabricator/manufacturer/facility nameGriffith Company Santa Fe Springs, CA.
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Dowels Dowel Metal Heat Numbern a
Dowel Epoxy Batch NumberYJ78400NA Dowel Coating SpecificationASTM A775
Dowel Size1.25 in Dowel Coating ColorGreen
Dowel Manufacturer Dowel CoaterAkzoNobel Coatings
Release Number Quality Assurance Code
Rebar Size (#)

Submitted Tests

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