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Sample Record for 2017-09-07-1

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

Project Information

Project ID: 211394 DEA: 100G8204 EFIS: 1013000073 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: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
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: 5625005861
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Dowels
Sample Taken Date: 09/07/2017
Date that the sample was received by the laboratory/organization performing the testing: 09/08/2017
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 results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2017-09-07-1-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 09/12/2017
Date Tested: 09/12/2017
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:
Additional Comments When Verified:
First Bar Mean 14.89 mils
Second Bar Mean 8.28 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 11.59 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: 2017-09-07-1-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 09/12/2017
Date Tested: 09/12/2017
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:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 3 ft
Holidays Per Linear Foot of Bar 0 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail NA