Summary for Test 2021-10-22-5-1
Test performed: ASTM A775-07b-re14Project Information
| Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
| Award Date | 02/05/2021 |
| Closeout Date | Not set |
| Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
| Location Description | IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE. |
| QA Service Level | 1 (Verified on 03/24/2021) |
Sample Information
| Sample Taken Date | 10/22/2021 | Sample Unique Key | 5 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 10/26/2021 |
| Sample type | Verification | A brief description of the sample | Epoxy Coated Dowel Basket |
| The quantity of what the sample constitutes | 2 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Peterson |
| Title of sampler | Telephone number of sampler | 7073428602 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | American Highway - Simplex | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | L110-142-21 | Structure unique identifier | |
| Structure name |
Material Information
| Material Type | SMTL TM7 - Epoxy Coated Dowels | Dowel Metal Heat Number | 201860 |
|---|---|---|---|
| Dowel Epoxy Batch Number | 3CH2112012 3CH2117043 | Dowel Coating Specification | ASTM A775 |
| Dowel Size | 1.5 in | Dowel Coating Color | Green |
| Dowel Manufacturer | American Highway Simplex | Dowel Coater | American Highway Simplex |
| Release Number | Quality Assurance Code | ||
| Rebar Size (#) | #12 |
Test Details
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DIME Sample ID: 2021-10-22-5
DIME Test ID: 2021-10-22-5-1
Testing Lab: CT HQ - Sacramento Structural Materials Testing Laboratory
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Test Release Date: 2021-10-28
Test Results
Input Type: Measured
Tester's full name: Fred Saylor
Date of test: 10/27/2021
Total Number of Holiday: 0
Total Length: 3
Holidays Per Linear Foot of Bar: 0
Holiday Test Pass/Fail: Pass
Bend Test Pass/Fail: Pass
General comments (publicly viewable) (Max 1000 characters):
Test was verified on 10/28/2021 ✔