Sample Record

Owner Labs

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

DIME Sample ID 2019-09-11-6

Project Information

Project IdentifiersProject ID: 213274
DEA: 010C8104
EFIS: 0113000060
DIST-CO-RTE-PM01-LAK-20,53-31.1/31.8,7.0/7.4
Award Date06/11/2018
Closeout DateNot set
Work DescriptionCONSTRUCT ROUNDABOUT
Location DescriptionLAKE 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 Level1 (Verified on 04/27/2018)

Sample Information

Sample Taken Date09/11/2019 Sample Unique Key6
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 testingNot set
Sample typeQuality Assurance A brief description of the sampleA934 Coated Dowels
The quantity of what the sample constitutes222 Dowel Bar Baskets From where was the sample collectedManufacturer
First name of sampler or witnessed byDavid Last name of sampler or witnessed byWeeks
Title of samplerASI Telephone number of sampler310-883-8369
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) FormL79-178-19 Structure unique identifier
Structure nameBI 56

Material Information

Material TypeSMTL TM7 - Epoxy Coated Dowels Dowel Metal Heat Number3089193
Dowel Epoxy Batch NumberCH1729WB Dowel Coating SpecificationASTM A934
Dowel Size1.25 in Dowel Coating ColorPurple
Dowel ManufacturerCMC Dowel CoaterSimplex JC Supply
Release Number Quality Assurance Code
Rebar Size (#)

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-09-11-6-1ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory09/19/2019Fred Saylor
Yes
09/19/2019
2019-09-11-6-2ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)Fred SaylorCT HQ - Sacramento Structural Materials Testing Laboratory09/19/2019Fred Saylor
Yes
09/19/2019

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