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Sample Record for 2018-04-24-4

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

Project Information

Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-680-M2.4/M12.4
Work Description: ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS
Location Description: FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Yannaing Tun Structure Rep.: Jordan Jarosz

Sample Information

DIME Sample ID: 2018-04-24-4
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Retest
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 04/24/2018
Date that the sample was received by the laboratory/organization performing the testing: 04/27/2018
The quantity of what the sample constitutes: 1 Set
A brief description of the sample: No.9 A615 Gr. 75 Epoxy Coated Bar
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: 9
Nut Specification for Threaded Bar: NA
System Manufacturer: WFE
Epoxy Coating Color: Purple
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100789906
Nut Heat Number(s): Unknown
Bar Lot Number: Unknown
Nut Lot Number: Unknown
Coupler Heat Number(s): Unknown
Coupler Grade: Unknown
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2018-04-24-4-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 05/01/2018
Date Tested: 04/30/2018
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 10 mils
Upper spec. limit USL 15 mils
Bar # for First Bar 1
Bar # for Second Bar 2
First Bar Mean 10.3
Second Bar Mean 11.87
Total mean value 11.08