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Sample Record for 2018-09-05-6

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

Project Information

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

Sample Information

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

Material Information

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

Test Results

Test 1 of 2

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

Test 2 of 2

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