Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211931 DEA: 043G6414 EFIS: 0416000348
QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29-37.0
Work Description: SCOUR REPLACE BRIDGE
Location Description: NAPA COUNTY IN CALISTOGA AT NAPA RIVER BRIDGE
Contractor Name: Valentine Corp.
Contractor Address: 111 Pelican Way, San Rafael, CA 94901
Resident Engineer: Danilo Patenia Structure Rep.: Nana Budu
DIME Sample ID: 2017-12-14-36
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: 12/14/2017
Date that the sample was received by the laboratory/organization performing the testing: 12/15/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: 1-1/4 A775 Dowel Baskets
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior
Dowel Metal Heat Number: SE17105160, SE17101250
Dowel Epoxy Batch Number: 7996025460
Dowel Coating Specification: ASTM A775
Dowel Size: 1.25 in
Dowel Coating Color: Green
Dowel Manufacturer: Nucor
Dowel Coater: Dayton Superior
Release Number: 1384155
Quality Assurance Code: Unknown
Rebar Size (#): Unknown
DIME Test ID: 2017-12-14-36-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 12/19/2017
Date Tested: 12/15/2017
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
|
13.18 mils
|
Second Bar Mean
|
11.83 mils
|
Lower spec. limit LSL
|
7 mils
|
Upper spec. limit USL
|
40 mils
|
Total mean value
|
12.5 mils
|
Total number of values less than LSL
|
no data
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2017-12-14-36-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 12/19/2017
Date Tested: 12/15/2017
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
|
1.6
|
Holidays Per Linear Foot of Bar
|
0
|
Holiday Test Pass/Fail
|
Pass
|