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Sample Record for 2019-07-09-1

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Project Information

Project ID: 212562 DEA: 024G5504 EFIS: 0214000036 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-5-2.7/R11.4
Work Description: RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location Description: SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
Contractor Name: J.F. SHEA CONSTRUCTION
Contractor Address: P.O. BOX 494519, REDDING, CA 96049-4519
Resident Engineer: Nicole Mallory Structure Rep.: Andrew Osullivan

Sample Information

DIME Sample ID: 2019-07-09-1
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: Verification
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 07/09/2019
Date that the sample was received by the laboratory/organization performing the testing: 07/09/2019
The quantity of what the sample constitutes: 303
A brief description of the sample: 1-1/2" Dowel Bars
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Simplex JC Supply

Material Information

Dowel Metal Heat Number: 1202014112
Dowel Epoxy Batch Number: 8996028139
Dowel Coating Specification: ASTM A934
Dowel Size: 1.5 in
Dowel Coating Color: Purple
Dowel Manufacturer: Nucor Steel
Dowel Coater: Simplex JC Supply
Release Number: Unknown
Quality Assurance Code: Unknown
Rebar Size (#): N/A
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2019-07-09-1-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 07/18/2019
Date Tested: 07/18/2019
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:
Lower spec. limit LSL 7 mils
Upper spec. limit USL 12 mils
Bar # for First Bar 1
Bar # for Second Bar 2
First Bar Mean 6.77
Second Bar Mean 6.94
Total mean value 6.85