Sample Record

Owner Lab

  • CT HQ - Sacramento Structural Materials Testing Laboratory

DIME Sample ID 2021-10-22-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215220
DEA: 07210624
EFIS: 0719000068
DIST-CO-RTE-PM07-LA,SBD-71-1.8/R4.7&R0.0/R0.2
Award Date02/05/2021
Closeout DateNot set
Work DescriptionPLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP.
Location DescriptionIN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE.
QA Service Level1 (Verified on 03/24/2021)

Sample Information

Sample Taken Date10/22/2021 Sample Unique Key5
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 testing10/26/2021
Sample typeVerification A brief description of the sampleEpoxy Coated Dowel Basket
The quantity of what the sample constitutes2 From where was the sample collectedFabricator
First name of sampler or witnessed byArthur Last name of sampler or witnessed byPeterson
Title of sampler Telephone number of sampler7073428602
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAmerican Highway - Simplex Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL110-142-21 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM7 - Epoxy Coated Dowels Dowel Metal Heat Number201860
Dowel Epoxy Batch Number3CH2112012 3CH2117043 Dowel Coating SpecificationASTM A775
Dowel Size1.5 in Dowel Coating ColorGreen
Dowel ManufacturerAmerican Highway Simplex Dowel CoaterAmerican Highway Simplex
Release Number Quality Assurance Code
Rebar Size (#)#12

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-22-5-1ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory10/27/2021Fred Saylor
Yes
10/28/2021
2021-10-22-5-2ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)Fred Saylor, CT HQ - Sacramento Structural Materials Testing Laboratory10/27/2021Fred Saylor
Yes
10/28/2021

Sample File Attachments

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Test File Attachments


DIME Test ID: 2021-10-22-5-1 ASTM A775-07b-re14 (Verified)
DIME Test ID: 2021-10-22-5-2 ASTM A775-07b-re14 (Verified)