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Sample Record for 2018-05-17-7

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

Project Information

Project ID: 209114 DEA: 040A7104 EFIS: 0400000160 COOP: 042550 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-880-28.4/29.2
Work Description: WIDEN ROADS, RECONSTRUCT RAMPS WITH HMA, REPLACE 2 CONC OVERCROSSINGS.
Location Description: ALAMEDA COUNTY IN ALAMEDA AND OAKLAND FROM 0.2 MILE SOUTH OF 29TH AVENUE OVERCROSSING TO 0.3 MILE NORTH OF 23RD AVENUE OVERCROSSING.
Contractor Name: RGW Construction
Contractor Address: 550 GREENVILLE ROAD, LIVERMORE CA 94550
Resident Engineer: Joy Cheung Structure Rep.: Maxime Dabilly

Sample Information

DIME Sample ID: 2018-05-17-7
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: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 05/17/2018
Date that the sample was received by the laboratory/organization performing the testing: 05/23/2018
The quantity of what the sample constitutes: 208 Lbs
A brief description of the sample: Epoxy Coated Rebar
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fletcher Coating Co

Material Information

Rebar Heat Number(s): PL17107881
Rebar Epoxy Batch Number(s):
Rebar Coating Specification: ASTM A934
Rebar Size (#): 5
Rebar Coating Color: Purple
Rebar Manufacturer: Nucor
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer: Unknown
Release Number: Unknown
Quality Assurance Code: A93418C29R2S18A25
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2018-05-17-7-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 05/24/2018
Date Tested: 05/23/2018
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 7 mils
Upper spec. limit USL 12 mils
Bar # for First Bar 5
Bar # for Second Bar 5
First Bar Mean 11.9
Second Bar Mean 9.77
Total mean value 10.84

Test 2 of 2

DIME Test ID: 2018-05-17-7-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 05/24/2018
Date Tested: 05/23/2018
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:
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