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Sample Record for 2023-06-08-7

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

Project Information

Project ID: 994780 DEA: 070W3304 EFIS: 0721000265 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-19.5/29.5
Work Description: LOS ANGELES COUNTY FROM EVERGREEN AVENUE PEDESTRIAN OVERCROSSING IN LOS ANGELES TO VALLEY BOULEVARD UNDERCROSSING IN EL MONTE
Location Description: DIGOUTS, SLURRY SEAL, COLD PLANE OVERLAY,
Contractor Name: GRIFFITH COMPANY
Contractor Address: Unknown
Resident Engineer: Sushilkumar Chaudhari Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-06-08-7
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: 06/08/2023
Date that the sample was received by the laboratory/organization performing the testing: 06/08/2023
The quantity of what the sample constitutes: 1200+-
A brief description of the sample: Epoxy Coated Rebar Dowels
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Griffith Company Santa Fe Springs, CA.

Material Information

Dowel Metal Heat Number: Gerdau 59109883 Nucor 1100044167
Dowel Epoxy Batch Number: YJ78400NA
Dowel Coating Specification: ASTM A775
Dowel Size: 1.25 in
Dowel Coating Color: Green
Dowel Manufacturer:
Dowel Coater: AkzoNobel Coatings
Release Number:
Quality Assurance Code:
Rebar Size (#):
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-06-08-7-1
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 06/30/2023
Date Tested: 06/28/2023
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 10.42
Second Bar Mean 11.09
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 10.76
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 2

DIME Test ID: 2023-06-08-7-2
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 06/30/2023
Date Tested: 06/28/2023
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 3
Holidays Per Linear Foot of Bar no data0 holiday per ft
Holiday Test Pass/Fail Pass