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Sample Record for 2020-09-28-2

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Project Information

Project ID: 214836 DEA: 030G9804 EFIS: 0317000313 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-46.3/53.4
Work Description: CONCRETE SLAB REPLACEMENT.
Location Description: PLACER COUNTY FR0M CRYSTAL SPRINGS ROAD OVERCROSSING TO BLUE CANYON ROAD UNDERCROSSING
Contractor Name: FBD VANGUARD CONSTRUCTION, INC.
Contractor Address: 550 Greenville Road, Livermore, CA 94550
Resident Engineer: Tad Sampson Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-09-28-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 09/28/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/30/2020
The quantity of what the sample constitutes: 300
A brief description of the sample: #6x30" A934 Epoxy coated tiebars
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Simplex

Material Information

Rebar Heat Number(s): 1201020033
Rebar Epoxy Batch Number(s): 3CH2010022
Rebar Coating Specification: ASTM A934
Rebar Size (#): 6
Rebar Coating Color: Purple
Rebar Manufacturer: Nucor
Rebar Coater: Simplex
Rebar Powder Manufacturer: Sherwin Williams
Release Number: 107363-3
Quality Assurance Code:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2020-09-28-2-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 10/05/2020
Date Tested: 09/30/2020
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 1
Bar # for Second Bar 2
First Bar Mean 7.56
Second Bar Mean 7.48
Total mean value 7.52

Test 2 of 2

DIME Test ID: 2020-09-28-2-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 10/05/2020
Date Tested: 09/30/2020
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 2
Total Length 5
Holidays Per Linear Foot of Bar 0.4
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass