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Sample Record for 2024-07-23-41

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

Project Information

Project ID: 994643 DEA: 033J1704 EFIS: 0322000216 QA Service Level: 1
DIST-CO-RTE-PM: 03-NEV-5711-
Work Description: REPLACE CANOPY AT MAINTENANCE STATION.
Location Description: NEVADA COUNTY AT KINGVALE AT CALTRANS KINGVALE MAINTENANCE STATION AT 51121 DONNER PASS ROAD.
Contractor Name: CONSTRUCTION H, INC.
Contractor Address: 3150 18th st. Unit 520, San Francisco, CA 94110
Resident Engineer: Randie Babbini Structure Rep.: Robert Nesson

Sample Information

DIME Sample ID: 2024-07-23-41
TL Number from the TL Form:
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: 07/23/2024
Date that the sample was received by the laboratory/organization performing the testing: 07/24/2024
The quantity of what the sample constitutes: 532lb
A brief description of the sample: Epoxy Coated Rebar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coating

Material Information

Rebar Heat Number(s): 1201057795
Rebar Epoxy Batch Number(s): CH0814BB
Rebar Coating Specification: ASTM A775
Rebar Size (#): 4
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Western Coating
Rebar Powder Manufacturer:
Release Number:
Quality Assurance Code:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-07-23-41-1
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/21/2024
Date Tested: 07/30/2024
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: complies
Additional Comments When Verified:
First Bar Mean 9.21
Second Bar Mean 10.62
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 9.92
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: 2024-07-23-41-2
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/21/2024
Date Tested: 07/30/2024
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: complies
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