Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2024-05-16-21
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Project Information
| Project Identifiers | Project ID: 214486 DEA: 080K1224 EFIS: 0815000244 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R28.6/37.5 |
| Award Date | 09/24/2021 |
| Closeout Date | 11/03/2025 |
| Work Description | REHBILIATATE EXISTING MAINLINE AND RAMP PAVEMENT |
| Location Description | SAN BERNARDINO COUNTY IN HESPERIA AND VICTORVILLE FROM OAK HILL ROAD OVERCROSSING TO 0.1 MILE SOUTH OF BEAR VALLEY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 05/16/2024 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 05/22/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy Coated Dowel Basket |
| The quantity of what the sample constitutes | Load 73-83 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Murray |
| Title of sampler | QA Inspector | Telephone number of sampler | 5624420352 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pacific Highway Products | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L140-034-24 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 4400025290, 4400025289, 4400025291, and 4400025297 |
|---|---|---|---|
| Dowel Epoxy Batch Number | CH3203KK | Dowel Coating Specification | ASTM A934 |
| Dowel Size | 1.5 in | Dowel Coating Color | Purple |
| Dowel Manufacturer | Pacific Highway Products | Dowel Coater | Simcote Inc |
| 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: 2024-05-16-21-1 ASTM A884-19e20 (Verified)
DIME Test ID: 2024-05-16-21-2 ASTM A884-19e20 (Verified)