Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211808 DEA: 11429104 EFIS: 1117000047
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-15-8.67
Work Description: 60 inch Diameter CMP Culvert
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2016-12-23-1
TL Number from the TL Form: NA
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: 12/23/2016
Date that the sample was received by the laboratory/organization performing the testing: 12/23/2016
The quantity of what the sample constitutes: 2
A brief description of the sample: Green Epoxy Dowels
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JC Supply Manufacturing
Dowel Metal Heat Number: NA
Dowel Epoxy Batch Number: NA
Dowel Coating Specification: ASTM A884
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer: Unknown
Dowel Coater: JC Supply And Manufacturing
Release Number: Unknown
Quality Assurance Code: NA
Rebar Size (#):
DIME Test ID: 2016-12-23-1-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 12/27/2016
Date Tested: 12/27/2016
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: complies
Additional Comments When Verified:
|
First Bar Mean
|
9.32 mils
|
|
Second Bar Mean
|
9.84 mils
|
|
Lower spec. limit LSL
|
7 mils
|
|
Upper spec. limit USL
|
40 mils
|
|
Total mean value
|
9.58 mils
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2016-12-23-1-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 12/27/2016
Date Tested: 12/27/2016
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: 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
|
