Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2023-06-08-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994780 DEA: 070W3304 EFIS: 0721000265 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10-19.5/29.5 |
| Award Date | 06/30/2023 |
| Closeout Date | Not set |
| Work Description | LOS ANGELES COUNTY FROM EVERGREEN AVENUE PEDESTRIAN OVERCROSSING IN LOS ANGELES TO VALLEY BOULEVARD UNDERCROSSING IN EL MONTE |
| Location Description | DIGOUTS, SLURRY SEAL, COLD PLANE OVERLAY, |
| QA Service Level | 1 (Verified on 06/07/2023) |
Sample Information
| Sample Taken Date | 06/08/2023 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 06/08/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Epoxy Sample |
| The quantity of what the sample constitutes | 4 oz of AkzoNobel RB-600 Epoxy | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Henry | Last name of sampler or witnessed by | Arredondo |
| Title of sampler | CALTRANS METS QA INSPECTOR | Telephone number of sampler | 5623329603 |
| Laboratory sample identification | Linked DIME Sample ID | 2023-06-08-7 | |
| The fabricator/manufacturer/facility name | Griffith Company Santa Fe Springs, CA. | 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 | n a |
|---|---|---|---|
| Dowel Epoxy Batch Number | YJ78400NA | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.25 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Dowel Coater | AkzoNobel Coatings | |
| Release Number | Quality Assurance Code | ||
| Rebar Size (#) |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||