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Sample Record for 2022-10-21-1

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

Project Information

Project ID: 993287 DEA: 112T35U4 EFIS: 1121000195 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R37.4/R52.6
Work Description: CMSTPL-6211(148) I-5 N Coast Corridor HOV Extension Carlsbad
Location Description: IN SAN DIEGO COUNTY AT VARIOUS LOCATIONS FROM LOMAS SANTA FE DRIVE UNDERCROSSING TO 0.2 MILES NORTH OF OCEANSIDE BOULEVARD UNDERCROSSING
Contractor Name: Flatironcorp
Contractor Address: 1525 Faraday Avenue, Suite 180, Carlsbad, CA 92008
Resident Engineer: Steve McMillan Structure Rep.: Rafael Lopez

Sample Information

DIME Sample ID: 2022-10-21-1
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: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 10/21/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/26/2022
The quantity of what the sample constitutes: 2100 pcs
A brief description of the sample: 1-1/2" Dowel Bar Baskets
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: FSSW, Flatiron

Material Information

Dowel Metal Heat Number: 190982,190983,190984,190985,190986,190987
Dowel Epoxy Batch Number:
Dowel Coating Specification: ASTM A775
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer:
Dowel Coater: Simplex JC Supply
Release Number:
Quality Assurance Code:
Rebar Size (#):
Test results on following page(s): 3

Test Results

Test

DIME Test ID: 2022-10-21-1-1
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 10/27/2022
Date Tested: 10/27/2022
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: Bar 1&2
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 8.66
Second Bar Mean 12
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 10.33
Total number of values less than LSL no data
Total number of values greater than USL no data

Test

DIME Test ID: 2022-10-21-1-2
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 10/27/2022
Date Tested: 10/27/2022
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: Bars 3&4
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 8.57
Second Bar Mean 8.31
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 8.44
Total number of values less than LSL no data
Total number of values greater than USL no data

Test

DIME Test ID: 2022-10-21-1-3
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 10/27/2022
Date Tested: 10/27/2022
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 no data0
Total Length 6
Holidays Per Linear Foot of Bar no data0 holiday per ft
Holiday Test Pass/Fail Pass