Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001469 DEA: 120K62U4 EFIS: 1224000090
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA,-5-R25.8/30.3
Work Description: CONST BRIDGE, RW, SW, PAVEMENT, DRAINAGE, AND ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY IN IRVINE AND TUSTIN FROM YALE AVENUE OVERCROSSING TO ROUTE 5/55 SEPARATION
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 16700 Valley View Avenue Suite 300, La Mirada, CA 90638
Resident Engineer: Carter Cox Structure Rep.: Younho Rew
DIME Sample ID: 2026-07-17-4
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: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 07/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/17/2026
The quantity of what the sample constitutes: 3500 Bskts 21,000 LF
A brief description of the sample: 1.5" x 18" Dowel Baskets
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: 4400038878,
4400038063
Dowel Epoxy Batch Number: CH3505AX
Dowel Coating Specification: ASTM A775
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer:
Dowel Coater: SIMCOTE
Release Number:
Quality Assurance Code:
Rebar Size (#):
DIME Test ID: 2026-07-17-4-1
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/04/2026
Date Tested: 08/04/2026
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
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12.62 mils
|
|
Second Bar Mean
|
12.04 mils
|
|
Lower spec. limit LSL
|
7 mils
|
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Upper spec. limit USL
|
40 mils
|
|
Bar # for First Bar
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1
|
|
Bar # for Second Bar
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2
|
|
Total mean value
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12.33 mils
|
|
Total number of values less than LSL
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no data
|
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2026-07-17-4-2
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/04/2026
Date Tested: 08/04/2026
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: complies
Additional Comments When Verified:
|
Total Number of Holiday
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no data0
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|
Total Length
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3
|
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Holidays Per Linear Foot of Bar
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no data0 holiday per ft
|
|
Holiday Test Pass/Fail
|
Pass
|
|
Bend Test Pass/Fail
|
NA
|