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Sample Record for 2018-02-22-1

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

Project Information

Project ID: 209694 DEA: 080J0704 EFIS: 0800000282 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-0.6/1.7
Work Description: (Alternative Delivery) The CMGC project will reconstruct and improve interchange of I-215 and Barton Road in the City of Grand Terrace, CA.
Location Description: Grade separation at Intersection of I-215 and Barton Road near Grand Terrace, CA. ? On I-215 between I-10 and SR-60.
Contractor Name: Myers / Rados-Southern California Jobsite Office
Contractor Address: 12210 Michigan St., Suite D, Grand Terrace, CA 92313
Resident Engineer: Fereydoon Alipanah Structure Rep.: Tim Flores

Sample Information

DIME Sample ID: 2018-02-22-1
TL Number from the TL Form: C715154
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 02/22/2018
Date that the sample was received by the laboratory/organization performing the testing: 02/23/2018
The quantity of what the sample constitutes: 542
A brief description of the sample: 6x30 Full Epoxy Tie Bar Baskets
From where was the sample collected: Manufacturer
Laboratory sample identification: xxxx
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior Modesto

Material Information

Rebar Heat Number(s): SE17102286 SE17102987
Rebar Epoxy Batch Number(s): 7T96025849
Rebar Coating Specification: ASTM A775
Rebar Size (#): #6
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Dayton Superior
Rebar Powder Manufacturer: Valspar
Release Number: B24-004-18
Quality Assurance Code: xxx
Test results on following page(s): 2

Test Results

Test

DIME Test ID: 2018-02-22-1-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 02/28/2018
Date Tested: 02/28/2018
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: complies
Additional Comments When Verified:
First Bar Mean 10.33
Second Bar Mean 8.36
Lower spec. limit LSL 7
Upper spec. limit USL 16
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 9.34
Total number of values less than LSL no data
Total number of values greater than USL no data

Test

DIME Test ID: 2018-02-22-1-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 02/28/2018
Date Tested: 02/28/2018
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: 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