Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001404 DEA: 120S3804 EFIS: 1220000058
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-10.0/21.3
Work Description: SLAB REPLACEMENT (RSC), RHMA-PAVING, SIGNAL AND LIGHTING MODIFICATION.
Location Description: ORANGE COUNTY FROM EL HORNO STREET UNDERCROSSING IN SAN JUAN CAPISTRANO TO ROUTE 405/5 SEPARATION IN IRVINE
Contractor Name: Beador Construction
Contractor Address: 2900 Bristol Street, Suite D 204, Costa Mesa, CA 92626
Resident Engineer: Artin Merati Structure Rep.: Michael Yee
DIME Sample ID: 2026-08-14-1
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: 08/14/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/21/2026
The quantity of what the sample constitutes: 264 Baskets (3568 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: JR0104
Dowel Epoxy Batch Number: CV3495SX
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: 2026-08-14-1-1
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/28/2026
Date Tested: 08/28/2026
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:
|
First Bar Mean
|
10.92
|
|
Second Bar Mean
|
10.77
|
|
Lower spec. limit LSL
|
7
|
|
Upper spec. limit USL
|
16
|
|
Bar # for First Bar
|
1
|
|
Bar # for Second Bar
|
2
|
|
Total mean value
|
10.8
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2026-08-14-1-2
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/28/2026
Date Tested: 08/28/2026
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
|
no data0
|
|
Total Length
|
3
|
|
Holidays Per Linear Foot of Bar
|
no data0 holiday per ft
|
|
Holiday Test Pass/Fail
|
Pass
|
|
Bend Test Pass/Fail
|
NA
|
