Sample Record

Owner Labs

  • CT HQ - QASI Los Angeles Field Office
  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2019-03-25-3

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
DIST-CO-RTE-PM12-ORA-405,73,405,605-9.3/24.3
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date03/25/2019 Sample Unique Key3
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 testing03/25/2019
Sample typeAuthorization A brief description of the sampleEpoxy Coated Dowel
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byLorenzo Last name of sampler or witnessed byGarcia
Title of samplerQA Telephone number of sampler702 917-2503
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFletcher Coating Co Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL115-028-19 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Dowels Dowel Metal Heat Number4083987
Dowel Epoxy Batch Number8J27 Dowel Coating SpecificationASTM A934
Dowel Size1.5 in Dowel Coating ColorPurple
Dowel ManufacturerCMC Rebar Dowel CoaterFletcher Coating
Release NumberUnknown Quality Assurance CodeUnknown
Rebar Size (#)8

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-03-25-3-1ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory04/02/2019Steven Paine
Yes
04/09/2019
2019-03-25-3-2ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)Steven Paine, CT HQ - Sacramento Structural Materials Testing Laboratory04/02/2019Steven Paine
Yes
04/09/2019

Sample File Attachments

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Test File Attachments


DIME Test ID: 2019-03-25-3-1 ASTM A934-13 (Verified)
DIME Test ID: 2019-03-25-3-2 ASTM A934-13 (Verified)