Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213078 DEA: 081G6204 EFIS: 0816000031
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-10,86-Var
Work Description: COLD PLANE, RHMA-G OVERLAY, REPLACE PRECAST SLAB AND LOCALIZED DIG-OUT
Location Description: IN RIVERSIDE COUNTY AT VARIOUS LOCATIONS
Contractor Name: HAZARD CONSTRUCTION COMPANY
Contractor Address: 6465 Marindustry Dr., San Diego, CA 92121
Resident Engineer: Peter Koury Structure Rep.: Arvindkumar Patel
DIME Sample ID: 2018-09-05-6
TL Number from the TL Form: C935676
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: 09/05/2018
Date that the sample was received by the laboratory/organization performing the testing: 09/07/2018
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 Pro Cast
Dowel Metal Heat Number: NA
Dowel Epoxy Batch Number: Unknown
Dowel Coating Specification: ASTM A884
Dowel Size: 1.25 in
Dowel Coating Color: Green
Dowel Manufacturer: Unknown
Dowel Coater: JC Supply
Release Number: 7202441
Quality Assurance Code: Unknown
Rebar Size (#): Unknown
DIME Test ID: 2018-09-05-6-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 09/10/2018
Date Tested: 09/07/2018
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
|
14.37 mils
|
Second Bar Mean
|
11.86 mils
|
Lower spec. limit LSL
|
7 mils
|
Upper spec. limit USL
|
40 mils
|
Total mean value
|
13.11 mils
|
Total number of values less than LSL
|
no data
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2018-09-05-6-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 09/10/2018
Date Tested: 09/07/2018
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
|