Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2020-11-11-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Department Acceptance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 11/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/13/2020
The quantity of what the sample constitutes: 2
A brief description of the sample: 1.5 x 18 A775 Dowels
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Simplex
Dowel Metal Heat Number: 20150
Dowel Epoxy Batch Number: 3CH2037025
Dowel Coating Specification: ASTM A775
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer: Simplex
Dowel Coater: Simplex
Release Number: Audit
Quality Assurance Code:
Rebar Size (#):
DIME Test ID: 2020-11-11-4-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 11/13/2020
Date Tested: 11/13/2020
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
|
9.72 mils
|
|
Second Bar Mean
|
9.88 mils
|
|
Lower spec. limit LSL
|
7 mils
|
|
Upper spec. limit USL
|
40 mils
|
|
Total mean value
|
9.8 mils
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2020-11-11-4-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 11/13/2020
Date Tested: 11/13/2020
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
|
1.6
|
|
Holidays Per Linear Foot of Bar
|
no data0 holiday per ft
|
|
Holiday Test Pass/Fail
|
Pass
|
