Sample Record for 2018-05-29-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 210808 DEA: 020E0904 EFIS: 0200000016
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-5-R29.3/R31.1,R45.0/R45.8
Work Description: REPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT
Location Description: IN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE.
Contractor Name: GOLDEN STATE BRIDGE, INC.
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Nathan Alexander Structure Rep.: Christopher S 'Chris' Brace
Sample Information
DIME Sample ID: 2018-05-29-2
TL Number from the TL Form: Unknown
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: 05/29/2018
Date that the sample was received by the laboratory/organization performing the testing: 05/29/2018
The quantity of what the sample constitutes: Lot 1
A brief description of the sample: A934 Expoxy Rebar
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fletcher Coating Co
Material Information
Rebar Heat Number(s): SE17105443, 1202001673
Rebar Epoxy Batch Number(s): 8A25B179 8A26A173
Rebar Coating Specification: ASTM A934
Rebar Size (#): 5
Rebar Coating Color: Purple
Rebar Manufacturer: Gredau
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer: Unknown
Release Number: Unknown
Quality Assurance Code: Unknown
Test Results
Test 1 of 4
DIME Test ID: 2018-05-29-2-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 06/07/2018
Date Tested: 06/07/2018
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:
Lower spec. limit LSL
|
7 mils
|
Upper spec. limit USL
|
12 mils
|
Bar # for First Bar
|
5
|
Bar # for Second Bar
|
5
|
First Bar Mean
|
9.52
|
Second Bar Mean
|
10.1
|
Total mean value
|
9.81
|
Test 2 of 4
DIME Test ID: 2018-05-29-2-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 06/07/2018
Date Tested: 06/07/2018
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
|
Test 3 of 4
DIME Test ID: 2018-05-29-2-3
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 06/07/2018
Date Tested: 06/07/2018
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:
Lower spec. limit LSL
|
7 mils
|
Upper spec. limit USL
|
12 mils
|
Bar # for First Bar
|
5
|
Bar # for Second Bar
|
5
|
First Bar Mean
|
10.33
|
Second Bar Mean
|
10.45
|
Total mean value
|
10.39
|
Test 4 of 4
DIME Test ID: 2018-05-29-2-4
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 06/07/2018
Date Tested: 06/07/2018
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
|