Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 210837 DEA: 080J0804 EFIS: 0800000283 COOP: 081625
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-34.7/51.6
Work Description: (Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location Description: Riverside County and SBD-15-0.0/1.3
Contractor Name: Skanska-Ames, Joint Venture
Contractor Address: 1801 California Avenue, Corona, CA 92881
Resident Engineer: Roy Fisher (reports) Structure Rep.: Roy Fisher
DIME Sample ID: 2018-10-26-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Recertification
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 10/26/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/30/2018
The quantity of what the sample constitutes: AD
A brief description of the sample: Epoxy Coated Dowel
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JC Supply Manufacturing
Dowel Metal Heat Number: 1202003691
Dowel Epoxy Batch Number: 8796027812
Dowel Coating Specification: ASTM A775
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer: Nucor Steel
Dowel Coater: JC Supply And Manufacturing
Release Number: N/A
Quality Assurance Code: Unknown
Rebar Size (#): Unknown
DIME Test ID: 2018-10-26-2-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 11/01/2018
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
|
9.22 mils
|
Second Bar Mean
|
10.16 mils
|
Lower spec. limit LSL
|
7 mils
|
Upper spec. limit USL
|
40 mils
|
Total mean value
|
9.69 mils
|
Total number of values less than LSL
|
no data
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2018-10-26-2-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 11/01/2018
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
|
2.5
|
Holidays Per Linear Foot of Bar
|
0
|
Holiday Test Pass/Fail
|
Pass
|