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Testing Report for 2017-08-10-7-4

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

Project Information

DEA: 033H2904
EFIS: 0317000306
Project ID: 212461
QA Service Level: 1
DIST-CO-RTE-PM: 03-NEV-80-R2.5/69.23
Work Description: Replace damaged culvert and repair sinkhole
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Randie Babbini
Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-08-10-7
TL Number from the TL Form: C925914
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: 8/10/2017
Date that the sample was received by the laboratory/organization performing the testing: 8/14/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: epoxy coated dowel basket and epoxy coated rebar basket
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior

Material Information

Dowel Metal Heat Number: SE17102274 rebar SE17102286
Dowel Epoxy Batch Number: NA
Dowel Coating Specification: ASTM A775
Dowel Size: 1.5 in
Dowel Coating Color: Green
Dowel Manufacturer: Nucor
Dowel Coater: Dayton Superior
Release Number: 1347114-1 1347114-2
Quality Assurance Code: Unknown
Rebar Size (#):

Test Information

DIME Test ID: 2017-08-10-7-4
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Date Tested: 8/16/2017
Verified Date: 8/16/2017
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:
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Total Number of Holiday: no data
Total Length: 1.6 ft
Holidays Per Linear Foot of Bar: no data
Holiday Test Pass/Fail: Pass