Project Information

Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 QA Service Level: 1

DIST-CO-RTE-PM: 07-LA-10-37.2/42.4

Work Description: CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.

Location Description: IN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA

Contractor Name: Guy F. Atkinson

Contractor Address: 18201 Von Karman Ave, Suite #800, IRVINE CA 92612

Resident Engineer: Rodolfo Cao Structure Rep.: David Win

Sample Information

DIME Sample ID: 2018-06-04-26

TL Number from the TL Form: C940062

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: 06/04/2018

Date that the sample was received by the laboratory/organization performing the testing: 06/07/2018

The quantity of what the sample constitutes: 2

A brief description of the sample: A934 Purple 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

Material Information

Rebar Heat Number(s): 4075105

Rebar Epoxy Batch Number(s):

Rebar Coating Specification: ASTM A934

Rebar Size (#): 8

Rebar Coating Color: Purple

Rebar Manufacturer: CMC Rebar

Rebar Coater: Fletcher Coating Company

Rebar Powder Manufacturer: Unknown

Release Number: Unknown

Quality Assurance Code: A93418E31R2S18A25

Test Results

Test 1 of 2

DIME Test ID: 2018-06-04-26-1

Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated 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:

Test Result Compliance:

Additional Comments When Verified:

Lower spec. limit LSL	7 mils
Upper spec. limit USL	12 mils
Bar # for First Bar	8
Bar # for Second Bar	8
First Bar Mean	9.47
Second Bar Mean	9.97
Total mean value	9.72

Test 2 of 2

DIME Test ID: 2018-06-04-26-2

Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)