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Testing Report for 2017-09-07-1-2

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

Project Information

DEA: 100G8204
EFIS: 1013000073
Project ID: 211394
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-132-0.4/7.1
Work Description: REPAIR PAVEMENT AND INSTALL ITS ELEMENTS.
Location Description: SAN JOAQUIN COUNTY NEAR VERNALIS FROM 0.4 MILE EAST OF ROUTE 580 TO STANISLAUS COUNTY LINE
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Wali Waziri
Structure Rep.: Mohsen Abdelfatah

Sample Information

DIME Sample ID: 2017-09-07-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: (510) 385-8178
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 9/7/2017
Date that the sample was received by the laboratory/organization performing the testing: 9/8/2017
The quantity of what the sample constitutes: 1 Truck Load
A brief description of the sample: A775 Epoxy Coated Dowel Baskets
From where was the sample collected: Source
Laboratory sample identification: Riverbank, CA
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior

Material Information

Dowel Metal Heat Number: SE17102265 PL17102440
Dowel Epoxy Batch Number: 7396024285 7196023954
Dowel Coating Specification: ASTM A775
Dowel Size: 1.25 in
Dowel Coating Color: Green
Dowel Manufacturer: Unknown
Dowel Coater: Dayton Superior
Release Number: 1349571-5
Quality Assurance Code: Unknown
Rebar Size (#): Unknown

Test Information

DIME Test ID: 2017-09-07-1-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars
Date Tested: 9/12/2017
Verified Date: 9/12/2017
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: paul.lukkarila@dot.ca.gov
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: 3 ft
Holidays Per Linear Foot of Bar: no data
Holiday Test Pass/Fail: Pass
Bend Test Pass/Fail: NA