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Sample Record for 2019-05-15-13

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

Project Information

Project ID: 213470 DEA: 06394604 EFIS: 0600020595 QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-269-10.6/12.4
Work Description: REPLACE BRIDGES AND RECONSTRUCT ROADWAY.
Location Description: FRESNO COUNTY NEAR HURON FROM 1.0 MILE NORTH OF PALMER AVENUE TO 0.4 MILE SOUTH OF ROUTE 198
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 5771 S. Toyota Avenue, Fresno, CA 93725
Resident Engineer: Din Dadawalla Structure Rep.: Nathan Quiroz

Sample Information

DIME Sample ID: 2019-05-15-13
TL Number from the TL Form: C816426
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: 05/15/2019
Date that the sample was received by the laboratory/organization performing the testing: 05/24/2019
The quantity of what the sample constitutes: 2
A brief description of the sample: Green Epoxy Rebar
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cascade Western Coating

Material Information

Rebar Heat Number(s): 023219
Rebar Epoxy Batch Number(s): UM96886NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): 7
Rebar Coating Color: Green
Rebar Manufacturer: Cascade
Rebar Coater: Western Coating
Rebar Powder Manufacturer: AkzoNobel
Release Number: 005EP 067EP 012EP 013EP 071EP
Quality Assurance Code: Unknown
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2019-05-15-13-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 05/28/2019
Date Tested: 05/28/2019
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 12.8
Second Bar Mean 12.34
Lower spec. limit LSL 7
Upper spec. limit USL 16
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 12.57
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: 2019-05-15-13-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 05/28/2019
Date Tested: 05/28/2019
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 5
Holidays Per Linear Foot of Bar no data0 holiday per ft
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass