Sample Record

Owner Lab

  • CT METS QASI - Los Angeles Design Build Field Laboratory

DIME Sample ID 2023-11-14-1

Project Information

Project IdentifiersProject ID: 212112
DEA: 080C2514
EFIS: 0816000076
COOP: 081645
DIST-CO-RTE-PM08-SBD-10-0.0/13.2
Award Date06/06/2018
Closeout DateNot set
Work DescriptionDesign-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location DescriptionLA/SBD County Line to PM 13.2 near I-15
QA Service Level1 (Verified on 10/16/2019)

Sample Information

Sample Taken Date11/14/2023 Sample Unique Key1
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 testing11/16/2023
Sample typeVerification A brief description of the sample#6 Epoxy Coated Rebar
The quantity of what the sample constitutesAD Audit From where was the sample collectedFabricator
First name of sampler or witnessed byMichael Last name of sampler or witnessed byCattabiani
Title of samplerAMR Telephone number of sampler201-674-6612
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFletcher Coating Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM7 - Epoxy Coated Dowels Dowel Metal Heat Number251423
Dowel Epoxy Batch Number251423 Dowel Coating SpecificationASTM A934
Dowel Size1.5 in Dowel Coating ColorPurple
Dowel Manufacturer Dowel CoaterFletcher
Release Number Quality Assurance Code
Rebar Size (#)#6

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments