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Sample Record for 2018-03-27-2

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

Project Information

Project ID: 212577 DEA: 11408704 EFIS: 1112000017 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-8-9.0/15.3
Work Description: SLAB REPLACEMENT, COLD PLANE, GRIND PAVEMENT AND REPLACE GUARDRAIL.
Location Description: SAN DIEGO COUNTY FROM 0.6 MILE WEST OF LAKE MURRAY BOULEVARD OVERCROSSING IN SAN DIEGO TO JOHNSON AVENUE UNDERCROSSING IN EL CAJON
Contractor Name: FLATIRON WEST, INC.
Contractor Address: 1770 La Costa Meadows Drive, San Marcos, CA 92078
Resident Engineer: John Williamson Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-03-27-2
TL Number from the TL Form: C925916
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 03/27/2018
Date that the sample was received by the laboratory/organization performing the testing: 03/29/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: Green Epoxy Coated Dowel Basket
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior

Material Information

Rebar Heat Number(s): NA
Rebar Epoxy Batch Number(s):
Rebar Coating Specification: ASTM A775
Rebar Size (#): 6
Rebar Coating Color: Green
Rebar Manufacturer: Unknown
Rebar Coater: Unknown
Rebar Powder Manufacturer: Unknown
Release Number: 1387825-2
Quality Assurance Code: Unknown
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2018-03-27-2-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 04/03/2018
Date Tested: 03/30/2018
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: 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 12.87
Second Bar Mean 10.7
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 11.78
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: 2018-03-27-2-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 04/03/2018
Date Tested: 03/30/2018
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: 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 2.6
Holidays Per Linear Foot of Bar no data0 holiday per ft
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass