Sample Record
Owner Labs
- CT HQ - QASI Los Angeles Field Office
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2022-10-21-1
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Project Information
| Project Identifiers | Project ID: 993287 DEA: 112T35U4 EFIS: 1121000195 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-5-R37.4/R52.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CMSTPL-6211(148) I-5 N Coast Corridor HOV Extension Carlsbad |
| Location Description | IN SAN DIEGO COUNTY AT VARIOUS LOCATIONS FROM LOMAS SANTA FE DRIVE UNDERCROSSING TO 0.2 MILES NORTH OF OCEANSIDE BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 09/23/2021) |
Sample Information
| Sample Taken Date | 10/21/2022 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 10/26/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1-1/2" Dowel Bar Baskets |
| The quantity of what the sample constitutes | 2100 pcs | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Joaquin | Last name of sampler or witnessed by | Moreno |
| Title of sampler | Telephone number of sampler | 7146990897 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | FSSW, Flatiron | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 190982,190983,190984,190985,190986,190987 |
|---|---|---|---|
| Dowel Epoxy Batch Number | Dowel Coating Specification | ASTM A775 | |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Dowel Coater | Simplex JC Supply | |
| 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: 2022-10-21-1-1 ASTM A884-19e20 (Verified)
DIME Test ID: 2022-10-21-1-2 ASTM A884-19e20 (Verified)
DIME Test ID: 2022-10-21-1-3 ASTM A884-19e20 (Verified)