Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2016-12-23-1
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Project Information
| Project Identifiers | Project ID: 211808 DEA: 11429104 EFIS: 1117000047 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-15-8.67 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | 60 inch Diameter CMP Culvert |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/01/2016) |
Sample Information
| Sample Taken Date | 12/23/2016 | 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 | 12/23/2016 |
| Sample type | Quality Assurance | A brief description of the sample | Green Epoxy Dowels |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Claire | Last name of sampler or witnessed by | Dodge |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | JC Supply Manufacturing | Transportation Laboratory (TL) Number | NA |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | N/A | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | NA |
|---|---|---|---|
| Dowel Epoxy Batch Number | NA | Dowel Coating Specification | ASTM A884 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Unknown | Dowel Coater | JC Supply And Manufacturing |
| Release Number | Unknown | Quality Assurance Code | NA |
| Rebar Size (#) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2016-12-23-1-1 ASTM A884-14 (Verified)
DIME Test ID: 2016-12-23-1-2 ASTM A884-13 (Verified)