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Sample Record for 2025-08-12-7

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

Project Information

Project ID: 6276 DEA: 112T0004 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-52,67-27.4/28.5,R1.8/R4.3
Work Description: CONSTRUCT A FREEWAY AND INTERCHANGE
Location Description:
Contractor Name: SKANSKA USA CIVIL WEST CALIFORNIA DISTRICT INC
Contractor Address: 1995 AGUA MANSA ROAD, RIVERSIDE CA 925092405
Resident Engineer: MIKE MOEN Structure Rep.: BRIAN MARTIN

Sample Information

DIME Sample ID: 2025-08-12-7
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 08/12/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/18/2025
The quantity of what the sample constitutes: 1000
A brief description of the sample: #6 x 30" Tie Bars
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Highway Products

Material Information

Rebar Heat Number(s): 4400038256 4400029979 4400037431
Rebar Epoxy Batch Number(s): CH0174PC CH2424PC CH0665YM
Rebar Coating Specification: ASTM A775
Rebar Size (#): 6
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Simcoat Inc
Rebar Powder Manufacturer:
Release Number:
Quality Assurance Code:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2025-08-12-7-1
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 09/08/2025
Date Tested: 09/08/2025
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:
First Bar Mean 7.19
Second Bar Mean 9.68
Lower spec. limit LSL 7
Upper spec. limit USL 16
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 8.43
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: 2025-08-12-7-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 09/08/2025
Date Tested: 09/08/2025
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:
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