Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213021 DEA: 010C7504 EFIS: 0113000046
QA Service Level: 1
DIST-CO-RTE-PM: 01-LAK-29-9.6/10.3
Work Description: CONSTRUCT ROUNDABOUT
Location Description: LAKE COUNTY NEAR MIDDLETOWN FROM PUTAH LANE TO 0.3 MILE NORTH OF SPRUCE ROAD
Contractor Name: GHILOTTI CONSTRUCTION CO. INC.
Contractor Address: 246 GHILOTTI AVENUE, SANTA ROSA, CA 95407
Resident Engineer: Dan Kraft Structure Rep.: Unknown
DIME Sample ID: 2018-10-24-7
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: 10/24/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2018
The quantity of what the sample constitutes: 250
A brief description of the sample: ASTM A934 Dowel Bars
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: J C Supply - Manufacturing
Dowel Metal Heat Number: 1201005044
Dowel Epoxy Batch Number: 8496026963
Dowel Coating Specification: ASTM A934
Dowel Size: 1.25 in
Dowel Coating Color: Purple
Dowel Manufacturer: Nucor
Dowel Coater: J C Supply Manufacturing
Release Number:
Quality Assurance Code:
Rebar Size (#): 1.25
DIME Test ID: 2018-10-24-7-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 10/31/2018
Date Tested: 10/31/2018
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
|
10.4 mils
|
|
Second Bar Mean
|
10.71 mils
|
|
Lower spec. limit LSL
|
7 mils
|
|
Upper spec. limit USL
|
12 mils
|
|
Total mean value
|
10.55 mils
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2018-10-24-7-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 10/31/2018
Date Tested: 10/31/2018
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
|
