Sample Record
Owner Lab
- CT HQ - QASI Sacramento Field Office
DIME Sample ID 2023-04-25-1
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 04/25/2023 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 testing | 05/08/2023 |
| Sample type | Quality Assurance | A brief description of the sample | ASTMA775 epoxy coated dowels |
| The quantity of what the sample constitutes | 3 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Farinha |
| Title of sampler | Asi | Telephone number of sampler | 916-798-7102 |
| 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 | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 1202048045 |
|---|---|---|---|
| Dowel Epoxy Batch Number | CH0483ZS | Dowel Coating Specification | ASTM A884 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Nucor | 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: 2023-04-25-1-1 ASTM A884-19e20 (Verified)
DIME Test ID: 2023-04-25-1-2 ASTM A884-19e20 (Verified)