Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2024-09-05-1
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Project Information
| Project Identifiers | Project ID: 993318 DEA: 11423704 EFIS: 1116000059 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-8-R31.8/R41.7 |
| Award Date | 04/01/2022 |
| Closeout Date | 04/08/2025 |
| Work Description | PLACE CRCP, HMA, MGS, AND WATER POLLUTION CONTROL SYSTEM. |
| Location Description | SAN DIEGO COUNTY NEAR ALPINE FROM VIEJAS CREEK BRIDGE TO PINE VALLEY CREEK BRIDGE |
| QA Service Level | 1 (Verified on 10/27/2021) |
Sample Information
| Sample Taken Date | 09/05/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 09/05/2024 |
| Sample type | Retest | A brief description of the sample | Epoxy Coated Dowel Bars |
| The quantity of what the sample constitutes | 505 each | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Levi | Last name of sampler or witnessed by | Pivoda |
| Title of sampler | Associate Steel Inspector | Telephone number of sampler | 19152961871 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American Highway | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S88-905-24 | Structure unique identifier | 57-0688R |
| Structure name | Sweetwater River Bridge | Bid Item | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 1202062387 |
|---|---|---|---|
| Dowel Epoxy Batch Number | CH2613TV CH0684UP | Dowel Coating Specification | ASTM A934 |
| Dowel Size | 1.5 in | Dowel Coating Color | Purple |
| Dowel Manufacturer | Nucor | Dowel Coater | American Highway Simplex |
| Release Number | Quality Assurance Code | ||
| Rebar Size (#) | 1-1/2" x 18" |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-05-1-1 ASTM A884-19e20 (Verified)
DIME Test ID: 2024-09-05-1-2 ASTM A884-19e20 (Verified)