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Sample Record for 2024-02-29-7

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

Project Information

Project ID: 214486 DEA: 080K1224 EFIS: 0815000244 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-R28.6/37.5
Work Description: REHBILIATATE EXISTING MAINLINE AND RAMP PAVEMENT
Location Description: SAN BERNARDINO COUNTY IN HESPERIA AND VICTORVILLE FROM OAK HILL ROAD OVERCROSSING TO 0.1 MILE SOUTH OF BEAR VALLEY ROAD OVERCROSSING
Contractor Name: SULLY - MILLER CONTRACTING COMPANY
Contractor Address: 135 S STATE COLLEGE BLVD. 400, BREA, CA 92821
Resident Engineer: Larry J Canuti Structure Rep.: Taghreed Al-khateeb

Sample Information

DIME Sample ID: 2024-02-29-7
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: 02/29/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/15/2024
The quantity of what the sample constitutes: 1280 baskets
A brief description of the sample: Dowel Bar Basket 1.5" x 18" fully coated
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Highway Products LLC

Material Information

Dowel Metal Heat Number: 4400029072, 4400029071
Dowel Epoxy Batch Number: CH1783CB CH2363PM
Dowel Coating Specification: ASTM A934
Dowel Size: 1.5 in
Dowel Coating Color: Purple
Dowel Manufacturer: Nucor Steel
Dowel Coater: Simcote Inc
Release Number:
Quality Assurance Code:
Rebar Size (#):
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2024-02-29-7-1
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 04/03/2024
Date Tested: 03/18/2024
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: Heat # 4400029072
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 20.16 mils
Second Bar Mean 16.56 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 18.36 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 4

DIME Test ID: 2024-02-29-7-2
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 04/03/2024
Date Tested: 03/18/2024
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: Heat # 4400029072
Test Result Compliance: complies
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 3 ft
Holidays Per Linear Foot of Bar 0 holiday per ft
Holiday Test Pass/Fail Pass

Test 3 of 4

DIME Test ID: 2024-02-29-7-3
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 04/03/2024
Date Tested: 04/02/2024
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: Heat # 4400029071
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 9.97 mils
Second Bar Mean 11.67 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 10.82 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 4 of 4

DIME Test ID: 2024-02-29-7-4
Test Method: ASTM A884-19e20: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 04/03/2024
Date Tested: 03/22/2024
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: Heat # 4400029071
Test Result Compliance: complies
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 3
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass