Sample Record

Owner Lab

  • CT HQ - QASI Sacramento Field Office

DIME Sample ID 2022-07-22-33

Project Information

Project IdentifiersProject ID: 993193
DEA: 031H18U4
EFIS: 0321000106
DIST-CO-RTE-PM03-NEV-80-13.0/16.5
Award Date11/04/2021
Closeout Date12/14/2023
Work DescriptionROADWAY EXCAVATION, JPCP AND FURNISH POLYESTER CONCRETE OVERLAY.
Location DescriptionNEVADA COUNTY IN AND NEAR TRUCKEE FROM 0.2 MILE WEST OF DONNER PARK OVERCROSSING TO ROUTE 89/267 SEPARATION
QA Service Level1 (Verified on 08/23/2021)

Sample Information

Sample Taken Date07/22/2022 Sample Unique Key33
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 samplePurple Epoxy Coated Basket/Dowels
The quantity of what the sample constitutes3,000 LF From where was the sample collectedFabricator
First name of sampler or witnessed byMahlon Last name of sampler or witnessed byLindenmuth
Title of samplerQA Inspector Telephone number of sampler6467403704
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAmerican Highway Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormS46-604-22 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM7 - Epoxy Coated Dowels Dowel Metal Heat Number120101040337
Dowel Epoxy Batch NumberCH0472SB Dowel Coating SpecificationASTM A934
Dowel Size1.5 in Dowel Coating ColorPurple
Dowel ManufacturerNucor Dowel CoaterAmerican Highway
Release Number Quality Assurance Code
Rebar Size (#)

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments