Sample Record
Owner Labs
- CT - Unassigned/General Field Laboratory
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2022-12-15-1
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Project Information
| Project Identifiers | Project ID: 213750 DEA: 120K0224 EFIS: 1214000097 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-14.5/17.1 |
| Award Date | 03/05/2019 |
| Closeout Date | Not set |
| Work Description | South County Improvement Project (Phase 2 - Oso/Alicia) CONST BRIDGES, RW, SW, HMA PVMT, JPCP, DRAINAGE, AND ELECT SYSTEMS. |
| Location Description | ORANGE COUNTY IN MISSION VIEJO AND LAGUNA HILLS FROM 0.7 MILE SOUTH OF OSO PARKWAY OVERCROSSING TO 0.3 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 04/15/2019) |
Sample Information
| Sample Taken Date | 12/15/2022 | 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 | 12/19/2022 |
| Sample type | Authorization | A brief description of the sample | A775 Epoxy Coated Dowel |
| The quantity of what the sample constitutes | N/A | From where was the sample collected | Source |
| First name of sampler or witnessed by | William | Last name of sampler or witnessed by | Clifford |
| Title of sampler | QA Inspector | Telephone number of sampler | 7142674733 |
| 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 | L78-053-22 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 3500028871 |
|---|---|---|---|
| Dowel Epoxy Batch Number | CH2842CR | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Newcor | Dowel Coater | American Highway Simplex |
| 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: 2022-12-15-1-1 ASTM A884-14 (Verified)
DIME Test ID: 2022-12-15-1-2 ASTM A884-13 (Verified)