Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000851 DEA: 07351704 EFIS: 0718000204
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-118,118-15.6/R17.9
Work Description: COLD PLANE AC PAVEMENT AND PLACE RUBBERIZED HMA.
Location Description: VENTURA COUNTY IN MOORPARK AT VARIOUS LOCATIONS
Contractor Name: C. A. RASMUSSEN, INC.
Contractor Address: Unknown
Resident Engineer: Pantaleon Rivera Structure Rep.: Unknown
DIME Sample ID: 2025-09-30-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Retest
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 09/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/02/2025
The quantity of what the sample constitutes: 555
A brief description of the sample: 1.5" x 18" Loose Dowels
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: 4400038061
Dowel Epoxy Batch Number: CH1255YE
Dowel Coating Specification: ASTM A775
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer: Nucor
Dowel Coater: Simcote
Release Number: L196-013-25
Quality Assurance Code: L196
Rebar Size (#):
DIME Test ID: 2025-09-30-2-1
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 10/17/2025
Date Tested: 10/17/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
First Bar Mean
|
11.38
|
|
Second Bar Mean
|
8.93
|
|
Lower spec. limit LSL
|
7 mils
|
|
Upper spec. limit USL
|
40 mils
|
|
Total mean value
|
10.15
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2025-09-30-2-2
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 10/17/2025
Date Tested: 10/17/2025
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
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
|
