Sample Record
Owner Labs
- CT HQ - QASI Bay Area Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2020-07-16-10
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Project Information
| Project Identifiers | Project ID: 214466 DEA: 081F1414 EFIS: 0815000231 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-15-54.2/54.3 |
| Award Date | 01/02/2020 |
| Closeout Date | 05/26/2022 |
| Work Description | Slab & lane replacement with JPCP & precast conc pavement, place HMA. |
| Location Description | Riverside and San Diego County |
| QA Service Level | 1 (Verified on 03/20/2020) |
Sample Information
| Sample Taken Date | 07/16/2020 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 07/20/2020 |
| Sample type | Verification | A brief description of the sample | 1-1/2" Dowel Bar |
| The quantity of what the sample constitutes | 1,140 baskets | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Lanz |
| Title of sampler | QA Inspector | Telephone number of sampler | 707 208-5241 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Simplex - Fernley, NV | Transportation Laboratory (TL) Number | C741331 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | B31-032-20 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 120202248820 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 3CH2013021 | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Nucor | Dowel Coater | Simplex |
| 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: 2020-07-16-10-1 ASTM A884-14 (Verified)
DIME Test ID: 2020-07-16-10-2 ASTM A884-13 (Verified)