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Sample Record for 2016-10-24-1

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

Project Information

Project ID: 208944 DEA: 07187224 EFIS: 0700000189 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-126-R6.8/R9.2
Work Description: SR 126/Commerce Center Drive Interchange Project
Location Description: Northwest of the City of Santa Clarita in unincorporated Los Angeles County
Contractor Name: C.A. Rasmussen, Inc.
Contractor Address: 28548 Livingston Avenue, Valencia, CA 91355-4171
Resident Engineer: Daniel Widjaja Structure Rep.: Sarah Hartz

Sample Information

DIME Sample ID: 2016-10-24-1
TL Number from the TL Form: C927502
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 10/24/2016
Date that the sample was received by the laboratory/organization performing the testing: 10/25/2016
The quantity of what the sample constitutes: 2
A brief description of the sample: Epoxy Coated Dowel
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton

Material Information

Dowel Metal Heat Number: SE16103106
Dowel Epoxy Batch Number: Unknown
Dowel Coating Specification: ASTM A934
Dowel Size: 1.5 in
Dowel Coating Color: Purple
Dowel Manufacturer: Dayton Superior
Dowel Coater: Dayton Superior
Release Number: 1270712-1
Quality Assurance Code: Unknown
Rebar Size (#):

Test Results

Test 1 of 2

DIME Test ID: 2016-10-24-1-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 10/27/2016
Date Tested: 10/26/2016
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
First Bar Mean 12.75 mils
Second Bar Mean 13.05 mils
Lower spec. limit LSL 7
Upper spec. limit USL 40
Total mean value 12.9 mils
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: 2016-10-24-1-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 10/27/2016
Date Tested: 10/26/2016
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
Total Number of Holiday 1
Total Length 3 ft
Holidays Per Linear Foot of Bar 0.3 holiday per ft
Holiday Test Pass/Fail Pass

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.