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Sample Record for 2018-04-06-6

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

Project Information

Project ID: 212577 DEA: 11408704 EFIS: 1112000017 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-8-9.0/15.3
Work Description: SLAB REPLACEMENT, COLD PLANE, GRIND PAVEMENT AND REPLACE GUARDRAIL.
Location Description: SAN DIEGO COUNTY FROM 0.6 MILE WEST OF LAKE MURRAY BOULEVARD OVERCROSSING IN SAN DIEGO TO JOHNSON AVENUE UNDERCROSSING IN EL CAJON
Contractor Name: FLATIRON WEST, INC.
Contractor Address: 1770 La Costa Meadows Drive, San Marcos, CA 92078
Resident Engineer: John Williamson Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-04-06-6
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 04/06/2018
Date that the sample was received by the laboratory/organization performing the testing: 04/09/2018
The quantity of what the sample constitutes: 1900 Loose Dowels
A brief description of the sample: 1-1/4 A775 Dowels
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior Modesto

Material Information

Dowel Metal Heat Number: 120200600, 1201000609, 1201000610
Dowel Epoxy Batch Number: 7T96025845
Dowel Coating Specification: ASTM A775
Dowel Size: 1.25 in
Dowel Coating Color: Green
Dowel Manufacturer: Nucor
Dowel Coater: Dayton Superior
Release Number: 1412609-1, 1402397-1
Quality Assurance Code: Unknown
Rebar Size (#): Unknown
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2018-04-06-6-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 04/11/2018
Date Tested: 04/10/2018
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 15.5 mils
Second Bar Mean 13.32 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 14.41 mils
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: 2018-04-06-6-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 04/11/2018
Date Tested: 04/10/2018
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 1.6
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass