Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000612 DEA: 120R57U4 EFIS: 1223000131
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-405-11.4/24.2
Work Description: PLACE JPCP (RSC) AND RHMA, AND MODIFY ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY FROM HARBOR BOULEVARD UNDERCROSSING IN COSTA MESA TO LOS ANGELES COUNTY LINE AT ROSSMOOR
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 9050 Norris Ave. #200, Westlake Village, CA 91361
Resident Engineer: Mario Leon Structure Rep.: Maribel Munoz Blanco
DIME Sample ID: 2025-09-04-10
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 09/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 09/10/2025
The quantity of what the sample constitutes: 1200
A brief description of the sample: 1.5" x 18" EC LD
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Highway Products
Dowel Metal Heat Number: 4400037190
Dowel Epoxy Batch Number: AL63996NA
Dowel Coating Specification: ASTM A775
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer: Nucor
Dowel Coater: Simcote
Release Number:
Quality Assurance Code: L196
Rebar Size (#):
DIME Test ID: 2025-09-04-10-1
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 09/17/2025
Date Tested: 09/17/2025
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
|
12.67
|
|
Second Bar Mean
|
11.33
|
|
Lower spec. limit LSL
|
7 mils
|
|
Upper spec. limit USL
|
40 mils
|
|
Total mean value
|
12
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2025-09-04-10-2
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 09/17/2025
Date Tested: 09/17/2025
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
|
|
Holidays Per Linear Foot of Bar
|
no data0 holiday per ft
|
|
Holiday Test Pass/Fail
|
Pass
|
