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Sample Record for 2017-08-31-3

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 211394 DEA: 100G8204 EFIS: 1013000073 QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-132-0.4/7.1
Work Description: REPAIR PAVEMENT AND INSTALL ITS ELEMENTS.
Location Description: SAN JOAQUIN COUNTY NEAR VERNALIS FROM 0.4 MILE EAST OF ROUTE 580 TO STANISLAUS COUNTY LINE
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Wali Waziri Structure Rep.: Mohsen Abdelfatah

Sample Information

DIME Sample ID: 2017-08-31-3
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 08/31/2017
Date that the sample was received by the laboratory/organization performing the testing: 09/01/2017
The quantity of what the sample constitutes: 400
A brief description of the sample: Epoxy Coated Dowel Basket
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior Corporation

Material Information

Dowel Metal Heat Number: SE17102265, PL17102440
Dowel Epoxy Batch Number: 7396024285 7196023954
Dowel Coating Specification: ASTM A884
Dowel Size: 1.25 in
Dowel Coating Color: Green
Dowel Manufacturer: Nucor
Dowel Coater: Dayton Superior
Release Number: 1349571-4
Quality Assurance Code: Unknown
Rebar Size (#): Unknown
Test results on following page(s): 2

Test Results

Test

DIME Test ID: 2017-08-31-3-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 09/12/2017
Date Tested: 09/12/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 12.78 mils
Second Bar Mean 11.17 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 11.97 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test

DIME Test ID: 2017-08-31-3-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 09/12/2017
Date Tested: 09/12/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday no data0
Total Length 3 ft
Holidays Per Linear Foot of Bar no data0 holiday per ft
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail NA