Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2018-07-26-1
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Project Information
| Project Identifiers | Project ID: 212562 DEA: 024G5504 EFIS: 0214000036 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-2.7/R11.4 |
| Award Date | 03/12/2018 |
| Closeout Date | 10/05/2020 |
| Work Description | RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS |
| Location Description | SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS |
| QA Service Level | 1 (Verified on 04/04/2018) |
Sample Information
| Sample Taken Date | 07/26/2018 | 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 | 07/26/2018 |
| Sample type | Quality Assurance | A brief description of the sample | Bar Basket, loose bar |
| The quantity of what the sample constitutes | 4 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
| Title of sampler | QA Inspector | Telephone number of sampler | 7077918219 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JC Supply Manufacturing | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L48-062-18 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 1202001826 1201001844 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 8496026962 | Dowel Coating Specification | ASTM A934 |
| Dowel Size | 1.5 in | Dowel Coating Color | Purple |
| Dowel Manufacturer | JC Supply And Manufacturing | Dowel Coater | JC Supply And Manufacturing |
| Release Number | Unknown | Quality Assurance Code | Unknown |
| Rebar Size (#) | Unknown |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2018-07-26-1-1 ASTM A934-13 (Verified)
DIME Test ID: 2018-07-26-1-2 ASTM A934-13 (Verified)
DIME Test ID: 2018-07-26-1-3 ASTM A934-13 (Verified)
DIME Test ID: 2018-07-26-1-4 ASTM A934-13 (Verified)