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Sample Record for 2017-08-01-2

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

Project Information

Project ID: 211260 DEA: 072159U4 EFIS: 0715000160 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,ORA-5-0.0/1.5, 44.3/44.4
Work Description: CONSTRUCT HOV LANES AND MIX FLOW LANES.
Location Description: LOS ANGELES AND ORANGE COUNTIES IN BUENA PARK, LA MIRADA, CERRITOS AND SANTA FE SPRINGS FROM ARTESIA BOULEVARD UNDERCROSSING TO NORTH FORK COYOTE CREEK
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 3075 TOWNSGATE RD. SUITE 200, WESTLAKE VILLAGE, CA 91361
Resident Engineer: George Saker Structure Rep.: Danny Lalonde

Sample Information

DIME Sample ID: 2017-08-01-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Verification
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 08/01/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/02/2017
The quantity of what the sample constitutes: 1 truck load
A brief description of the sample: 8 A775 epoxy coated rebar
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coating

Material Information

Rebar Heat Number(s): PL17204829
Rebar Epoxy Batch Number(s): 7696024903
Rebar Coating Specification: ASTM A775
Rebar Size (#): 8
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Western Coating
Rebar Powder Manufacturer: Valspar
Release Number: 36367
Quality Assurance Code: Unknown
Test results on following page(s): 2

Test Results

Test

DIME Test ID: 2017-08-01-2-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/04/2017
Date Tested: 08/04/2017
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 9.46 mils
Second Bar Mean 9.72 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 16 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 9.59 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test

DIME Test ID: 2017-08-01-2-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/04/2017
Date Tested: 08/04/2017
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday no data0
Total Length 5 ft
Holidays Per Linear Foot of Bar no data0 holiday per ft
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass