Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993798 DEA: 09366804 EFIS: 0916000021
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-117.3/117.9
Work Description: MEADOW FARMS ADA
Location Description: INYO COUNTY NEAR BISHOP FROM 0.1 MILE EAST OF SEE VEE LANE TO BARLOW LANE
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. BOX 2210, PISMO BEACH, CA 93448-2210
Resident Engineer: Adam Zumstein Structure Rep.: Mulugheta Belay
DIME Sample ID: 2025-12-26-2
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: 12/26/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/07/2026
The quantity of what the sample constitutes: 39,679
A brief description of the sample: #5 ASTM A706 Grade 80 With ASTM A775 Epoxy Coating
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): 1201069573
1201071223
3500021388
Rebar Epoxy Batch Number(s): CV2305LS
XF92070NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): #5
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Western Coatings
Rebar Powder Manufacturer: Sherwin Williams and Azkonobel
Release Number:
Quality Assurance Code:
DIME Test ID: 2025-12-26-2-1
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 01/15/2026
Date Tested: 01/09/2026
Submitted By Organization: Kleinfelder - Rancho Cordova
Organization Address: 3130 Kilgore Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95670
Organization Email: mmlee@kleinfelder.com
Organization Phone: (916) 308-3701
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
|
First Bar Mean
|
11.69
|
|
Second Bar Mean
|
11.78
|
|
Lower spec. limit LSL
|
7
|
|
Upper spec. limit USL
|
12
|
|
Bar # for First Bar
|
1
|
|
Bar # for Second Bar
|
2
|
|
Total mean value
|
11.74
|
|
Total number of values less than LSL
|
no data
|
|
Total number of values greater than USL
|
no data
|
DIME Test ID: 2025-12-26-2-2
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 01/15/2026
Date Tested: 01/09/2026
Submitted By Organization: Kleinfelder - Rancho Cordova
Organization Address: 3130 Kilgore Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95670
Organization Email: mmlee@kleinfelder.com
Organization Phone: (916) 308-3701
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
|
