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Sample Record for 2024-06-27-4

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

Project Information

Project ID: 994976 DEA: 060X3304 EFIS: 0618000055 QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-5-R0.0/4.4
Work Description: REPLACE ROADWAY PAVEMENT WITH HMA AND CONCRETE.
Location Description: KERN COUNTY AT AND NEAR LEBEC FROM LOS ANGELES COUNTY LINE TO GRAPEVINE CREEK
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: Unknown
Resident Engineer: Joy Denny Structure Rep.: Travis Landas

Sample Information

DIME Sample ID: 2024-06-27-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Authorization
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 06/27/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2024
The quantity of what the sample constitutes: AD Audit
A brief description of the sample: 2 epoxy coated / 1 uncoated
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: American Highway - Simplex

Material Information

Dowel Metal Heat Number: 1202060282
Dowel Epoxy Batch Number: CH1024XY
Dowel Coating Specification: ASTM A775
Dowel Size: 1.25 in
Dowel Coating Color: Green
Dowel Manufacturer: Nucor Steel
Dowel Coater: Sherwin Williams
Release Number: C240693
Quality Assurance Code:
Rebar Size (#): 1.5

Test Results

Test 1 of 2

DIME Test ID: 2024-06-27-4-1
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 07/18/2024
Date Tested: 07/02/2024
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: complies
Additional Comments When Verified:
First Bar Mean 11.34
Second Bar Mean 11.69
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 11.51
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: 2024-06-27-4-2
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 07/18/2024
Date Tested: 07/02/2024
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: complies
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