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Sample Record for 2018-05-31-13

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

Project Information

Project ID: 211776 DEA: 024F58U4 EFIS: 0215000021 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-5-R57.8/R58.5
Work Description: BR STRENGTHENING, BARRIER RAIL, HMA, POLYESTER CONC, APPROACH SLABS
Location Description: SISKIYOU COUNTY NEAR HORNBROOK FROM KLAMATH RIVER ROAD UNDERCROSSING TO 0.4 MILE NORTH OF KLAMATH RIVER ROAD UNDERCROSSING
Contractor Name: J F Shea
Contractor Address: 655 Brea Canyon Road, Walnut , CA 91789
Resident Engineer: Mark Loader Structure Rep.: Robert B 'Bob' Thompson

Sample Information

DIME Sample ID: 2018-05-31-13
TL Number from the TL Form: C720603
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 05/31/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/05/2018
The quantity of what the sample constitutes: 180
A brief description of the sample: assorted sizes of eboxy coated rebar
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown

Material Information

Rebar Heat Number(s): PL17108284, PL17103712, 6503064902, 1201001670
Rebar Epoxy Batch Number(s): TD95852NA, UD73382NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): 10, 8, 5
Rebar Coating Color: Green
Rebar Manufacturer: Nucor Gerdau
Rebar Coater: AkzoNobel Surface Chemistry, LLC
Rebar Powder Manufacturer: Resicoat
Release Number: Unknown
Quality Assurance Code: Unknown
Test results on following page(s): 6

Test Results

Test 1 of 6

DIME Test ID: 2018-05-31-13-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 06/11/2018
Date Tested: 06/07/2018
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: #5
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 8.44
Second Bar Mean 8.93
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 8.68
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 6

DIME Test ID: 2018-05-31-13-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 06/11/2018
Date Tested: 06/07/2018
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: #5
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 3 of 6

DIME Test ID: 2018-05-31-13-3
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 06/11/2018
Date Tested: 06/07/2018
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: #8
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 11.39
Second Bar Mean 11.86
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 11.62
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 4 of 6

DIME Test ID: 2018-05-31-13-4
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 06/11/2018
Date Tested: 06/07/2018
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: #8
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 5 of 6

DIME Test ID: 2018-05-31-13-6
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 06/11/2018
Date Tested: 06/07/2018
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: #10
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 2.6 ft
Holidays Per Linear Foot of Bar 0 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 6 of 6

DIME Test ID: 2018-05-31-13-7
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 06/11/2018
Date Tested: 06/07/2018
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: #10
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 11.27
Second Bar Mean 11.81
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 11.54
Total number of values less than LSL no data
Total number of values greater than USL no data