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Sample Record for 2018-07-17-5

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

Project Information

Project ID: 212741 DEA: 020E1804 EFIS: 0200000022 QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-89-29.8/30.2
Work Description: BRIDGE REPLACEMENT
Location Description: PLUMAS COUNTY NEAR CANYON DAM FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF LAKE ALMANOR SPILLWAY
Contractor Name: Q&D CONSTRUCTION, INC.
Contractor Address: P.O Box 10865, Reno, NV 89510
Resident Engineer: Ryan Johnson Structure Rep.: Matt Crete

Sample Information

DIME Sample ID: 2018-07-17-5
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Department Acceptance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 07/17/2018
Date that the sample was received by the laboratory/organization performing the testing: 07/20/2018
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: No 5 green rebar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Brighton

Material Information

Rebar Heat Number(s): 4077349
Rebar Epoxy Batch Number(s): UE86724NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): 5
Rebar Coating Color: Green
Rebar Manufacturer: CMC (Commercial Metals Company)
Rebar Coater: CMC Brighton CO
Rebar Powder Manufacturer: AkzoNobel Surface Chemistry, LLC
Release Number: N/A
Quality Assurance Code: N/A
Test results on following page(s): 2

Test Results

Test

DIME Test ID: 2018-07-17-5-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 07/20/2018
Date Tested: 07/20/2018
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:
Additional Comments When Verified:
First Bar Mean 10.61
Second Bar Mean 10.32
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 10.46
Total number of values less than LSL no data
Total number of values greater than USL no data

Test

DIME Test ID: 2018-07-17-5-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 07/20/2018
Date Tested: 07/20/2018
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:
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