Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2019-09-11-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213274 DEA: 010C8104 EFIS: 0113000060 |
|---|---|
| DIST-CO-RTE-PM | 01-LAK-20,53-31.1/31.8,7.0/7.4 |
| Award Date | 06/11/2018 |
| Closeout Date | 07/09/2021 |
| Work Description | CONSTRUCT ROUNDABOUT |
| Location Description | LAKE COUNTY NEAR CLEARLAKE OAKS ON ROUTE 20 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 53 AND ON ROUTE 53 FROM 0.4 MILE SOUTH OF ROUTE 20 TO ROUTE 20 |
| QA Service Level | 1 (Verified on 04/27/2018) |
Sample Information
| Sample Taken Date | 09/11/2019 | Sample Unique Key | 6 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 05/01/2019 |
| Sample type | Quality Assurance | A brief description of the sample | A934 Coated Dowels |
| The quantity of what the sample constitutes | 222 Dowel Bar Baskets | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Weeks |
| Title of sampler | ASI | Telephone number of sampler | 310-883-8369 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Simplex JC Supply | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L79-178-19 | Structure unique identifier | |
| Structure name | BI 56 |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 3089193 |
|---|---|---|---|
| Dowel Epoxy Batch Number | CH1729WB | Dowel Coating Specification | ASTM A934 |
| Dowel Size | 1.25 in | Dowel Coating Color | Purple |
| Dowel Manufacturer | CMC | Dowel Coater | Simplex JC Supply |
| 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: 2019-09-11-6-1 ASTM A884-14 (Verified)
DIME Test ID: 2019-09-11-6-2 ASTM A884-13 (Verified)