Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2023-08-21-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212498 DEA: 021H5204 EFIS: 0217000009 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-3,263-48.5/49.7 - 49.41 |
| Award Date | 08/04/2022 |
| Closeout Date | 09/30/2025 |
| Work Description | Roadway Rehabilitation |
| Location Description | 02-Sis-3, 263-R46.8/R48.0, 49.07/49.41 |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 08/21/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 08/22/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1-1/4" x 18" loose dowel bars |
| The quantity of what the sample constitutes | 295 pieces | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Andrew | Last name of sampler or witnessed by | Webster |
| Title of sampler | QAI | Telephone number of sampler | 9254189838 |
| 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 | S90-003-23 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 1201052636 |
|---|---|---|---|
| Dowel Epoxy Batch Number | CH1932JJ CH2172HC | Dowel Coating Specification | ASTM A934 |
| Dowel Size | 1.25 in | Dowel Coating Color | Purple |
| Dowel Manufacturer | Nucor | Dowel Coater | American Highway 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: 2023-08-21-6-1 ASTM A884-19e20 (Verified)
DIME Test ID: 2023-08-21-6-2 ASTM A884-19e20 (Verified)