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Sample Record for 2017-08-01-1

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: 2017-08-01-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Verification
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 08/01/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/02/2017
The quantity of what the sample constitutes: 1 truck load
A brief description of the sample: 4 A706 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
Rebar Epoxy Batch Number(s): 3416421
Rebar Coating Specification: ASTM A775
Rebar Size (#): 4
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 3

DIME Test ID: 2017-08-01-1-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/03/2017
Date Tested: 08/02/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bars 1 & 2 Retest
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 10.88 mils
Second Bar Mean 11.82 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 11.35 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 3

DIME Test ID: 2017-08-01-1-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 08/03/2017
Date Tested: 08/02/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bars 3&4 Retest
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 9.75 mils
Second Bar Mean 9.72 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 9.74 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 3 of 3

DIME Test ID: 2017-08-01-1-3
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 08/03/2017
Date Tested: 08/02/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bars 1, 2, 3, 4 Retest
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 6
Total Length 10 ft
Holidays Per Linear Foot of Bar 0.6 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.