Sample Record
Owner Lab
- CT HQ - Sacramento Structural Materials Testing Laboratory
DIME Sample ID 2017-01-03-4
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Project Information
| Project Identifiers | Project ID: 211513 DEA: 120M4904 EFIS: 1212000090 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-1.2/2.2 |
| Award Date | 09/20/2016 |
| Closeout Date | 01/09/2020 |
| Work Description | WIDEN FWY AND BRIDGE AND CONSTRUCT RW, SOUND WALL, AND CONC BARRIERS. |
| Location Description | ORANGE COUNTY IN SAN CLEMENTE FROM 0.1 MILE NORTH OF AVENIDA MENDOCINO OVERCROSSING TO 0.2 MILE SOUTH OF AVENIDA PRESIDIO UNDERCROSSING |
| QA Service Level | 1 (Verified on 11/03/2016) |
Sample Information
| Sample Taken Date | 01/03/2017 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 01/10/2017 |
| Sample type | Acceptance | A brief description of the sample | Epoxy Coated Dowel |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Churchill |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Nucor JC Supply | Transportation Laboratory (TL) Number | C970916 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L0200117 | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | PL16105368 PL16205320 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 6996023106 | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | Nucor | Dowel Coater | JC Supply And Manufacturing |
| Release Number | Unknown | Quality Assurance Code | Unknown |
| Rebar Size (#) |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-01-03-4-2 ASTM A884-14 (Verified)
DIME Test ID: 2017-01-03-4-3 ASTM A884-13 (Verified)