Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2021-12-08-4
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Project Information
| Project Identifiers | Project ID: 215063 DEA: 032F5704 EFIS: 0300020615 |
|---|---|
| DIST-CO-RTE-PM | 03-PLA-80-46.3/63.5 |
| Award Date | 09/23/2020 |
| Closeout Date | 08/11/2023 |
| Work Description | Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay) |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/16/2020) |
Sample Information
| Sample Taken Date | 12/08/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 12/09/2021 |
| Sample type | Acceptance | A brief description of the sample | 1.5 x 18 Purple Epoxy Coated Dowels |
| The quantity of what the sample constitutes | 158 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | muser |
| Title of sampler | QA | Telephone number of sampler | 9165170532 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American Highway - Simplex | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | S19-999-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 323421 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 3CH2041027 | Dowel Coating Specification | ASTM A934 |
| Dowel Size | 1.5 in | Dowel Coating Color | Purple |
| Dowel Manufacturer | American Highway Simplex | Dowel Coater | American Highway Simplex |
| Release Number | 112209-2 | 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: 2021-12-08-4-1 ASTM A884-14 (Verified)
DIME Test ID: 2021-12-08-4-2 ASTM A884-13 (Verified)