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Sample Record for 2017-08-10-9

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

Project Information

Project ID: 211507 DEA: 07279114 EFIS: 0715000075 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-60-R24.4/R25.3
Work Description: CONSTRUCT RAMPS AND AUXILIARY LANE.
Location Description: LOS ANGELES COUNTY IN DIAMOND BAR AND CITY OF INDUSTRY FROM GRAND AVENUE OVERCROSSING TO 0.1 MILE WEST OF PROSPECTORS UNDERCROSSING
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 Cushing Suite 200, Irvine, CA 92618
Resident Engineer: Martin Sandoval Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-08-10-9
TL Number from the TL Form: C925912
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 08/10/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/15/2017
The quantity of what the sample constitutes: 4
A brief description of the sample: Epoxy Coated Dowel Basket
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior

Material Information

Dowel Metal Heat Number: NA
Dowel Epoxy Batch Number: Unknown
Dowel Coating Specification: ASTM A775
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer: Dayton Superior
Dowel Coater: Dayton Superior
Release Number: 1346895-1 1346895-2 1346895-3 1346895-4
Quality Assurance Code: Unknown
Rebar Size (#):

Test Results

Test 1 of 8

DIME Test ID: 2017-08-10-9-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/17/2017
Date Tested: 08/16/2017
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 9.98 mils
Second Bar Mean 9.8 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 16 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 9.89 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 8

DIME Test ID: 2017-08-10-9-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/17/2017
Date Tested: 08/16/2017
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 0
Total Length 2.6 ft
Holidays Per Linear Foot of Bar 0 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 3 of 8

DIME Test ID: 2017-08-10-9-3
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 08/17/2017
Date Tested: 08/16/2017
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: Release #134695-3
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 12.83 mils
Second Bar Mean 11.84 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 12.34 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 4 of 8

DIME Test ID: 2017-08-10-9-4
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 08/17/2017
Date Tested: 08/16/2017
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: Release #1346895-3
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 1.6 ft
Holidays Per Linear Foot of Bar 0 holiday per ft
Holiday Test Pass/Fail Pass

Test 5 of 8

DIME Test ID: 2017-08-10-9-5
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 08/17/2017
Date Tested: 08/16/2017
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: Release #1346895-2
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 11.79 mils
Second Bar Mean 10.62 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 11.21 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 6 of 8

DIME Test ID: 2017-08-10-9-6
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 08/17/2017
Date Tested: 08/16/2017
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: Release #1346895-2
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 1.6 ft
Holidays Per Linear Foot of Bar 0 holiday per ft
Holiday Test Pass/Fail Pass

Test 7 of 8

DIME Test ID: 2017-08-10-9-7
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 08/17/2017
Date Tested: 08/16/2017
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: Release #1346895-1
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 11.62 mils
Second Bar Mean 12.14 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 11.88 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 8 of 8

DIME Test ID: 2017-08-10-9-8
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 08/17/2017
Date Tested: 08/16/2017
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: Release #1346895-1
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 1.6 ft
Holidays Per Linear Foot of Bar 0 holiday per ft
Holiday Test Pass/Fail Pass