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Sample Record for 2022-10-21-1

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

Project Information

Project ID: 993287 DEA: 112T35U4 EFIS: 1121000195 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R37.4/R52.6
Work Description: CMSTPL-6211(148) I-5 N Coast Corridor HOV Extension Carlsbad
Location Description: IN SAN DIEGO COUNTY AT VARIOUS LOCATIONS FROM LOMAS SANTA FE DRIVE UNDERCROSSING TO 0.2 MILES NORTH OF OCEANSIDE BOULEVARD UNDERCROSSING
Contractor Name: Flatironcorp
Contractor Address: 1525 Faraday Avenue, Suite 180, Carlsbad, CA 92008
Resident Engineer: Steve McMillan Structure Rep.: Rafael Lopez

Sample Information

DIME Sample ID: 2022-10-21-1
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: 10/21/2022
Date that the sample was received by the laboratory/organization performing the testing: 10/26/2022
The quantity of what the sample constitutes: 2100 pcs
A brief description of the sample: 1-1/2" Dowel Bar Baskets
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: FSSW, Flatiron

Material Information

Dowel Metal Heat Number: 190982,190983,190984,190985,190986,190987
Dowel Epoxy Batch Number:
Dowel Coating Specification: ASTM A775
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer:
Dowel Coater: Simplex JC Supply
Release Number:
Quality Assurance Code:
Rebar Size (#):

Test Results

Test 1 of 3

DIME Test ID: 2022-10-21-1-1
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 10/27/2022
Date Tested: 10/27/2022
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: Bar 1&2
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 8.66
Second Bar Mean 12
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 10.33
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 3

DIME Test ID: 2022-10-21-1-2
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 10/27/2022
Date Tested: 10/27/2022
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: Bars 3&4
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 8.57
Second Bar Mean 8.31
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 8.44
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 3 of 3

DIME Test ID: 2022-10-21-1-3
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 10/27/2022
Date Tested: 10/27/2022
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 6
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass