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Sample Record for 2017-07-25-6

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

Project Information

Project ID: 211668 DEA: 010B2604 EFIS: 0112000150 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-199-8.2
Work Description: CONSTRUCT BRIDGE AND WIDEN SHOULDERS
Location Description: DEL NORTE COUNTY NEAR HIOUCHI AT 1 MILE NORTH OF SOUTH FORK ROAD
Contractor Name: FLATIRON WEST INC
Contractor Address: 2100 Goodyear Rd, Benicia, CA 94510
Resident Engineer: Clayton Malmberg Structure Rep.: Josh Runnion

Sample Information

DIME Sample ID: 2017-07-25-6
TL Number from the TL Form: C719142
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Verification
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 07/25/2017
Date that the sample was received by the laboratory/organization performing the testing: 07/25/2017
The quantity of what the sample constitutes: 1 truck load
A brief description of the sample: 4,5,6,8,10 Epoxy coated rebar
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coating

Material Information

Rebar Heat Number(s): 4062485,PL16207638,4067179,PL16208888,PL17203473,PL17103453,PL17103716
Rebar Epoxy Batch Number(s): 3416421,TD95852NA,3395646,3619312
Rebar Coating Specification: ASTM A775
Rebar Size (#): 4,5,6,8,10
Rebar Coating Color: Green
Rebar Manufacturer: CMC,Nucor
Rebar Coater: Western Coating
Rebar Powder Manufacturer: Axalta
Release Number: 36133
Quality Assurance Code: Unknown

Test Results

Test 1 of 10

DIME Test ID: 2017-07-25-6-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/01/2017
Date Tested: 07/27/2017
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: #4/13mm Rebar
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 10.65 mils
Second Bar Mean 13.65 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 12 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 12.15 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 10

DIME Test ID: 2017-07-25-6-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/01/2017
Date Tested: 07/28/2017
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: #4/13mm Rebar
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 2
Total Length 2.6 ft
Holidays Per Linear Foot of Bar 0.8 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 3 of 10

DIME Test ID: 2017-07-25-6-3
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/01/2017
Date Tested: 07/27/2017
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: #5/16mm Rebar
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 9.84 mils
Second Bar Mean 9.03 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 12 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 9.44 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 4 of 10

DIME Test ID: 2017-07-25-6-4
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/01/2017
Date Tested: 07/27/2017
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: #6/19mm Rebar
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 11.03 mils
Second Bar Mean 11.31 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 16 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 11.17 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 5 of 10

DIME Test ID: 2017-07-25-6-5
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/01/2017
Date Tested: 07/27/2017
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: #8/25mm Rebar
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 10.23 mils
Second Bar Mean 8.13 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 16 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 9.18 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 6 of 10

DIME Test ID: 2017-07-25-6-6
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/01/2017
Date Tested: 07/27/2017
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: #10/32mm Rebar
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 10.75 mils
Second Bar Mean 10.58 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 16 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 10.67 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 7 of 10

DIME Test ID: 2017-07-25-6-7
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/01/2017
Date Tested: 07/27/2017
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: #5/16mm Rebar
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 1
Total Length 2.6 ft
Holidays Per Linear Foot of Bar 0.4 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 8 of 10

DIME Test ID: 2017-07-25-6-8
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/01/2017
Date Tested: 07/27/2017
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: #6/19mm Rebar
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 2
Total Length 2.6 ft
Holidays Per Linear Foot of Bar 0.8 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 9 of 10

DIME Test ID: 2017-07-25-6-9
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/01/2017
Date Tested: 07/28/2017
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: #8/25mm Rebar
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 2.6 ft
Holidays Per Linear Foot of Bar 0 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 10 of 10

DIME Test ID: 2017-07-25-6-10
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/01/2017
Date Tested: 07/28/2017
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: #10/32mm Rebar
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 2.6 ft
Holidays Per Linear Foot of Bar 0 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass