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Sample Record for 2017-08-17-8

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

Project Information

Project ID: 209187 DEA: 04235624 EFIS: 0400000678 COOP: 042583 QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL,SM-101-52.0/52.6,0.0/0.6
Work Description: BRIDGE REPLACEMENT
Location Description: SANTA CLARA AND SAN MATEO COUNTIES IN PALO ALTO AND EAST PALO ALTO FROM OREGON EXPRESSWAY OVERCROSSING TO 0.3 MILE SOUTH OF UNIVERSITY AVENUE OVERCROSSING
Contractor Name: GHILOTTI BROS / RM HARRIS JV
Contractor Address: 525 JACOBY STREET, SAN RAFAEL CA 94901
Resident Engineer: Fernando Abela Structure Rep.: Yannaing Tun

Sample Information

DIME Sample ID: 2017-08-17-8
TL Number from the TL Form: NA
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Retest
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 08/17/2017
Date that the sample was received by the laboratory/organization performing the testing: 09/01/2017
The quantity of what the sample constitutes: 8
A brief description of the sample: Purple Epoxy Coated HRC 555 End Anchors
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar Fletcher Coating

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 4067827
Head Manufacturer Lot Number(s): 1, 2
Rebar Size: #8
Headed Bar Model Name: HRC 555
Size of Head: Reduced Size - 4x
Head Connection Type: Forged
Head Shape: Circular
Rebar Manufacturer: CMC Rebar
Head Manufacturer: CMC HRC
Head Fabricator: CMC Rebar
Material Standard Code: ASTM A706
Headed Bar Unique ID:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2017-08-17-8-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 09/05/2017
Date Tested: 09/01/2017
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:
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 12.07 mils
Second Bar Mean 14.53 mils
Total mean value 13.3 mils

Test 2 of 2

DIME Test ID: 2017-08-17-8-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 09/05/2017
Date Tested: 09/01/2017
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:
Test Result Compliance:
Additional Comments When Verified:
Lower spec. limit LSL 7 mils
Upper spec. limit USL 12 mils
Bar # for First Bar 3
Bar # for Second Bar 4
First Bar Mean 12.02 mils
Second Bar Mean 12.67 mils
Total mean value 12.34 mils