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Sample Record for 2017-11-16-1

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Project Information

Project ID: 211856 DEA: 11408604 EFIS: 1112000016 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-8-T0.5/R0.7
Work Description: COLD PLANE AND OVERLAY WITH RHMA, GRIND PCC, MGS AND END TREATMENTS.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM NIMITZ BOULEVARD TO 0.2 MILE WEST OF PRESIDIO PARK OVERCROSSING
Contractor Name: HAZARD CONSTRUCTION COMPANY
Contractor Address: 6465 MARINDUSTRY DRIVE, SAN DIEGO CA 92121
Resident Engineer: Sultan Ghazialam Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-11-16-1
TL Number from the TL Form:
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: (510) 385-8178
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 11/16/2017
Date that the sample was received by the laboratory/organization performing the testing: 11/17/2017
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: A934 Purple Epoxy Coated Rebar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fletcher Coating Co

Material Information

Rebar Heat Number(s): SE17104146 PL17104942
Rebar Epoxy Batch Number(s): 7G05
Rebar Coating Specification: ASTM A934
Rebar Size (#): 4, 5
Rebar Coating Color: Purple
Rebar Manufacturer: Nucor
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer: 3M
Release Number:
Quality Assurance Code: A93417K08R2S17G05, A93417K09R4S16K03

Test Results

Test 1 of 3

DIME Test ID: 2017-11-16-1-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 11/28/2017
Date Tested: 11/27/2017
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:
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 2.6
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 2 of 3

DIME Test ID: 2017-11-16-1-3
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 11/28/2017
Date Tested: 11/27/2017
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:
Test Result Compliance:
Additional Comments When Verified:
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 5
Bar # for Second Bar 5
First Bar Mean 10.23
Second Bar Mean 11.2
Total mean value 10.72

Test 3 of 3

DIME Test ID: 2017-11-16-1-4
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 11/28/2017
Date Tested: 11/27/2017
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:
Test Result Compliance:
Additional Comments When Verified:
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 4
Bar # for Second Bar 4
First Bar Mean 9.43
Second Bar Mean 10.84
Total mean value 10.14

Tests Assigned to this Sample

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