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Sample Record for 2024-10-16-3

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

Project Information

Project ID: 212112 DEA: 080C2514 EFIS: 0816000076 COOP: 081645 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-0.0/13.2
Work Description: Design-Build of I-10 Corridor Contract 1 - Adding 2 new Express Lanes
Location Description: LA/SBD County Line to PM 13.2 near I-15
Contractor Name: Lane-Security Paving Joint Venture
Contractor Address: 3450 Centre Lake Drive, 1st Floor, Ontario, CA 91761
Resident Engineer: Jose Corona Structure Rep.: Luis Negrete

Sample Information

DIME Sample ID: 2024-10-16-3
TL Number from the TL Form:
Sample Submitted By Organization: CT METS QASI - Los Angeles Design Build Field Laboratory
Sample Organization Contact: (619) 204-7248
Type of Sample: Annual Source Testing
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 10/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/16/2024
The quantity of what the sample constitutes: 2
A brief description of the sample: AD Audit sample for A934 rebar
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fletcher Coating Company

Material Information

Rebar Heat Number(s): 256824
Rebar Epoxy Batch Number(s): 4F11
Rebar Coating Specification: ASTM A934
Rebar Size (#): #6
Rebar Coating Color: Purple
Rebar Manufacturer: Cascade Steel
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer: 3M
Release Number:
Quality Assurance Code:

Test Results

Test 1 of 3

DIME Test ID: 2024-10-16-3-1
Test Method: ASTM A934-19: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
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
This test has been superseded on 01/07/2025. The corrected test ID is: 2024-10-16-3-3
Reason: retested

Test 2 of 3

DIME Test ID: 2024-10-16-3-2
Test Method: ASTM A934-19: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 01/07/2025
Date Tested: 01/07/2025
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:
Lower spec. limit LSL 7 mils
Upper spec. limit USL 12 mils
Bar # for First Bar 1
Bar # for Second Bar 2
First Bar Mean 9.29
Second Bar Mean 9.64
Total mean value 9.47

Test 3 of 3

DIME Test ID: 2024-10-16-3-3
Test Method: ASTM A934-19: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 01/07/2025
Date Tested: 01/07/2025
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:
The test was superseded from test ID: 2024-10-16-3-1
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday no data0
Total Length no data0 ft
Holidays Per Linear Foot of Bar no data0 holiday per ft
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass