Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2022-10-06-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 993318 DEA: 11423704 EFIS: 1116000059 |
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DIST-CO-RTE-PM | 11-SD-8-R31.8/R41.7 |
Award Date | 04/01/2022 |
Closeout Date | Not set |
Work Description | PLACE CRCP, HMA, MGS, AND WATER POLLUTION CONTROL SYSTEM. |
Location Description | SAN DIEGO COUNTY NEAR ALPINE FROM VIEJAS CREEK BRIDGE TO PINE VALLEY CREEK BRIDGE |
QA Service Level | 1 (Verified on 10/27/2021) |
Sample Information
Sample Taken Date | 10/06/2022 | Sample Unique Key | 2 |
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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 | 10/12/2022 |
Sample type | Quality Assurance | A brief description of the sample | 1.5 inch dowels purple |
The quantity of what the sample constitutes | 404 | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Jacob | Last name of sampler or witnessed by | Garcia |
Title of sampler | QA Inspector | Telephone number of sampler | 3109128014 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Pacific Highway Products | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L169-007-22 | Structure unique identifier | |
Structure name |
Material Information
Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 4400012225 |
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Dowel Epoxy Batch Number | 1G09B | Dowel Coating Specification | ASTM A934 |
Dowel Size | 1.5 in | Dowel Coating Color | Purple |
Dowel Manufacturer | Pacific Highway Products | Dowel Coater | Simcote Inc |
Release Number | Quality Assurance Code | ||
Rebar Size (#) |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-10-06-2-1 ASTM A934-13 (Verified)
DIME Test ID: 2022-10-06-2-2 ASTM A934-19 (Verified)