Sample Record
Owner Lab
- CT METS QASI - Los Angeles Design Build Field Laboratory
DIME Sample ID 2023-11-14-1
Project Information
Project Identifiers | Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 |
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DIST-CO-RTE-PM | 08-SBD-10-0.0/13.2 |
Award Date | 06/06/2018 |
Closeout Date | Not set |
Work Description | Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes |
Location Description | LA/SBD County Line to PM 13.2 near I-15 |
QA Service Level | 1 (Verified on 10/16/2019) |
Sample Information
Sample Taken Date | 11/14/2023 | Sample Unique Key | 1 |
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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 | 11/16/2023 |
Sample type | Verification | A brief description of the sample | #6 Epoxy Coated Rebar |
The quantity of what the sample constitutes | AD Audit | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Cattabiani |
Title of sampler | AMR | Telephone number of sampler | 201-674-6612 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Fletcher Coating | 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 | 251423 |
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Dowel Epoxy Batch Number | 251423 | Dowel Coating Specification | ASTM A934 |
Dowel Size | 1.5 in | Dowel Coating Color | Purple |
Dowel Manufacturer | Dowel Coater | Fletcher | |
Release Number | Quality Assurance Code | ||
Rebar Size (#) | #6 |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |