Sample Record

Owner Labs

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

DIME Sample ID 2019-07-09-1

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212562
DEA: 024G5504
EFIS: 0214000036
DIST-CO-RTE-PM02-SIS-5-2.7/R11.4
Award Date03/12/2018
Closeout Date10/05/2020
Work DescriptionRECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location DescriptionSISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
QA Service Level1 (Verified on 04/04/2018)

Sample Information

Sample Taken Date07/09/2019 Sample Unique Key1
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 testing07/09/2019
Sample typeVerification A brief description of the sample1-1/2" Dowel Bars
The quantity of what the sample constitutes303 From where was the sample collectedFabricator
First name of sampler or witnessed byKenneth Last name of sampler or witnessed byVarela
Title of samplerAssociate Steel Inspector Telephone number of sampler562-440-7716
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSimplex JC Supply Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM7 - Epoxy Coated Dowels Dowel Metal Heat Number1202014112
Dowel Epoxy Batch Number8996028139 Dowel Coating SpecificationASTM A934
Dowel Size1.5 in Dowel Coating ColorPurple
Dowel ManufacturerNucor Steel Dowel CoaterSimplex JC Supply
Release NumberUnknown Quality Assurance CodeUnknown
Rebar Size (#)N/A

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-07-09-1-1ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Steven PaineCT HQ - Sacramento Structural Materials Testing Laboratory07/18/2019Steven Paine
Yes
07/18/2019