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Sample Record for 2018-02-22-1

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

Project Information

Project ID: 209694 DEA: 080J0704 EFIS: 0800000282 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-0.6/1.7
Work Description: (Alternative Delivery) The CMGC project will reconstruct and improve interchange of I-215 and Barton Road in the City of Grand Terrace, CA.
Location Description: Grade separation at Intersection of I-215 and Barton Road near Grand Terrace, CA. ? On I-215 between I-10 and SR-60.
Contractor Name: Myers / Rados-Southern California Jobsite Office
Contractor Address: 12210 Michigan St., Suite D, Grand Terrace, CA 92313
Resident Engineer: Fereydoon Alipanah Structure Rep.: Tim Flores

Sample Information

DIME Sample ID: 2018-02-22-1
TL Number from the TL Form: C715154
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 02/22/2018
Date that the sample was received by the laboratory/organization performing the testing: 02/23/2018
The quantity of what the sample constitutes: 542
A brief description of the sample: 6x30 Full Epoxy Tie Bar Baskets
From where was the sample collected: Manufacturer
Laboratory sample identification: xxxx
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior Modesto

Material Information

Rebar Heat Number(s): SE17102286 SE17102987
Rebar Epoxy Batch Number(s): 7T96025849
Rebar Coating Specification: ASTM A775
Rebar Size (#): #6
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Dayton Superior
Rebar Powder Manufacturer: Valspar
Release Number: B24-004-18
Quality Assurance Code: xxx

Test Results

Test 1 of 2

DIME Test ID: 2018-02-22-1-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars
Verified Date: 02/28/2018
Date Tested: 02/28/2018
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: complies
Additional Comments When Verified:
First Bar Mean 10.33
Second Bar Mean 8.36
Lower spec. limit LSL 7
Upper spec. limit USL 16
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 9.34
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 2

DIME Test ID: 2018-02-22-1-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars
Verified Date: 02/28/2018
Date Tested: 02/28/2018
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: complies
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 5
Holidays Per Linear Foot of Bar 0
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.