Sample Record

DIME Sample ID 2023-11-14-1

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Owner Lab

  • CT METS QASI - Los Angeles Design Build Field Laboratory

Sample Information

Sample Taken Date11/14/2023 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing11/16/2023 Sample typeVerification
A brief description of the sample#6 Epoxy Coated Rebar The quantity of what the sample constitutesAD Audit
From where was the sample collectedFabricator First name of sampler or witnessed byMichael
Last name of sampler or witnessed byCattabiani Title of samplerAMR
Telephone number of sampler201-674-6612 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameFletcher Coating
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 Number251423
Dowel Epoxy Batch Number251423 Dowel Coating SpecificationASTM A934
Dowel Size1.5 in Dowel Coating ColorPurple
Dowel Manufacturer Dowel CoaterFletcher
Release Number Quality Assurance Code
Rebar Size (#)#6

Submitted Tests

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