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Sample Record for 2022-07-22-46

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 993193 DEA: 031H18U4 EFIS: 0321000106 QA Service Level: 1
DIST-CO-RTE-PM: 03-NEV-80-13.0/16.5
Work Description: ROADWAY EXCAVATION, JPCP AND FURNISH POLYESTER CONCRETE OVERLAY.
Location Description: NEVADA COUNTY IN AND NEAR TRUCKEE FROM 0.2 MILE WEST OF DONNER PARK OVERCROSSING TO ROUTE 89/267 SEPARATION
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: Unknown
Resident Engineer: Randy Stellhorn Structure Rep.: Carl Anderson

Sample Information

DIME Sample ID: 2022-07-22-46
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 07/22/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/25/2022
The quantity of what the sample constitutes: 1,200 Loose Dowels
A brief description of the sample: 1-1/4" Purple Epoxy Dowels
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: American Highway

Material Information

Dowel Metal Heat Number: 343621
Dowel Epoxy Batch Number: 3CH2010021 2CH2105028 CH0472SB
Dowel Coating Specification: ASTM A934
Dowel Size: 1.25 in
Dowel Coating Color: Purple
Dowel Manufacturer: Cascade Steel
Dowel Coater: American Highway
Release Number:
Quality Assurance Code:
Rebar Size (#):
Test results on following page(s): 2

Test Results

Test

DIME Test ID: 2022-07-22-46-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 07/28/2022
Date Tested: 07/27/2022
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 8.88
Second Bar Mean 8.87
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 8.88
Total number of values less than LSL no data
Total number of values greater than USL no data

Test

DIME Test ID: 2022-07-22-46-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 07/28/2022
Date Tested: 07/27/2022
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:
Total Number of Holiday 1
Total Length 3
Holidays Per Linear Foot of Bar 0.3
Holiday Test Pass/Fail Pass