Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 77777 DEA: CHEM-STOCK EFIS: CHEM-STOCK
QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for Chem Lab stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2025-05-20-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 05/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/27/2025
The quantity of what the sample constitutes: 2
A brief description of the sample: AD Audit Sample
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coatings Ogden, UT
Rebar Heat Number(s): 1202062319
Rebar Epoxy Batch Number(s): C250587
Rebar Coating Specification: ASTM A775
Rebar Size (#): 6
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Western Coating Ogden UT
Rebar Powder Manufacturer: IFS
Release Number:
Quality Assurance Code:
DIME Test ID: 2025-05-20-2-1
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 06/18/2025
Date Tested: 06/10/2025
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
First Bar Mean
|
8.9
|
|
Second Bar Mean
|
9.3
|
|
Lower spec. limit LSL
|
7
|
|
Upper spec. limit USL
|
16
|
|
Bar # for First Bar
|
1
|
|
Bar # for Second Bar
|
2
|
|
Total mean value
|
9.1
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2025-05-20-2-2
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 06/18/2025
Date Tested: 06/10/2025
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
Total Number of Holiday
|
no data0
|
|
Total Length
|
5
|
|
Holidays Per Linear Foot of Bar
|
no data0 holiday per ft
|
|
Holiday Test Pass/Fail
|
Pass
|
|
Bend Test Pass/Fail
|
Pass
|
