Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000576 DEA: 120R3134 EFIS: 1220000025
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91-6.4/R9.2
Work Description: PLACE JPCP, REMOVE CONC PVMT AND BASE, AND MODIFY ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY IN ANAHEIM FROM 0.3 MILE EAST OF ROUTE 91/57 SEPARATION TO 0.1 MILE EAST OF ROUTE 91/55 SEPARATION
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: Unknown
Resident Engineer: Clay Walker Structure Rep.: Matthew Chang
DIME Sample ID: 2025-10-16-6
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: 10/16/2025
Date that the sample was received by the laboratory/organization performing the testing: 10/21/2025
The quantity of what the sample constitutes: 4037 each
A brief description of the sample: #6 rebar x 30"
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Highway Products
Rebar Heat Number(s): 4400037430
Rebar Epoxy Batch Number(s): CH0665YM
Rebar Coating Specification: ASTM A775
Rebar Size (#): #6
Rebar Coating Color: Green
Rebar Manufacturer: Nucor steel
Rebar Coater: Simcote Inc
Rebar Powder Manufacturer: Sherwin Williams
Release Number:
Quality Assurance Code:
DIME Test ID: 2025-10-16-6-1
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 10/23/2025
Date Tested: 10/23/2025
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
|
7.39
|
|
Second Bar Mean
|
6.78
|
|
Lower spec. limit LSL
|
7
|
|
Upper spec. limit USL
|
16
|
|
Bar # for First Bar
|
1
|
|
Bar # for Second Bar
|
2
|
|
Total mean value
|
7.08
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2025-10-16-6-2
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 10/23/2025
Date Tested: 10/23/2025
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
|
