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Sample Record for 2023-08-04-84

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

Project Information

Project ID: 994948 DEA: 072XH504 EFIS: 0723000280 QA Service Level: 1
DIST-CO-RTE-PM: 07---
Work Description:
Location Description:
Contractor Name: Baltazar Construction, Inc
Contractor Address: 236 E. Arrow HWY, Covina, CA 91722
Resident Engineer: Hai Hong Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-08-04-84
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (213) 505-4213
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 08/04/2023
Date that the sample was received by the laboratory/organization performing the testing: 09/07/2023
The quantity of what the sample constitutes: 1008
A brief description of the sample: Epoxy Coated Dowel Bar Basket
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Liberty

Material Information

Dowel Metal Heat Number: 3500028872
Dowel Epoxy Batch Number: CH2842CR CH2492BY
Dowel Coating Specification: ASTM A775
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer:
Dowel Coater: Sherwin Williams
Release Number:
Quality Assurance Code:
Rebar Size (#):
Test results on following page(s): 2

Test Results

Test

DIME Test ID: 2023-08-04-84-1
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 09/12/2023
Date Tested: 09/07/2023
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: 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 16.55
Second Bar Mean 16.93
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 16.74
Total number of values less than LSL no data
Total number of values greater than USL no data

Test

DIME Test ID: 2023-08-04-84-2
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 09/12/2023
Date Tested: 09/07/2023
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: 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 3
Holidays Per Linear Foot of Bar no data0 holiday per ft
Holiday Test Pass/Fail Pass