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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: 5625005861
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 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:
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 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 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 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 4
Bar # for Second Bar 4
First Bar Mean 9.43
Second Bar Mean 10.84
Total mean value 10.14