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Sample Record for 2023-02-22-50

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Project Information

Project ID: 215788 DEA: 101C7904 EFIS: 1016000046 QA Service Level: 1
DIST-CO-RTE-PM: 10-MER-5-0.4
Work Description: BUILDING WORK.
Location Description: MERCED COUNTY 0.4 MILE NORTH OF THE FRESNO COUNTY LINE AT THE JOHN "CHUCK" ERRECA SAFETY ROADSIDE REST AREA
Contractor Name: Walsh Construction Company II, LLC (Walsh) - Bryce Frederick
Contractor Address: 1390 Willow Pass Road Suite 950, Concord, CA 94520
Resident Engineer: Zubair Anwar Structure Rep.: Ramandeep "Raman" Guraya

Sample Information

DIME Sample ID: 2023-02-22-50
TL Number from the TL Form:
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: 02/22/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/09/2023
The quantity of what the sample constitutes: 2
A brief description of the sample: Epoxy Coated Dowel
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Nucor akzonobel sherwin williams

Material Information

Dowel Metal Heat Number: 4400017867 4400017870 4400017868 4400021196 4400021195
Dowel Epoxy Batch Number: CH1872BR YH78379NA
Dowel Coating Specification: ASTM A884
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer: Nucor
Dowel Coater: akzonobel
Release Number:
Quality Assurance Code:
Rebar Size (#):
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-02-22-50-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 03/27/2023
Date Tested: 03/23/2023
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 15.86
Second Bar Mean 20.64
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 18.25
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: 2023-02-22-50-2
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 03/27/2023
Date Tested: 03/23/2023
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 1
Total Length 3
Holidays Per Linear Foot of Bar 0.3
Holiday Test Pass/Fail Pass