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Sample Record for 2018-06-15-2

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

Project Information

Project ID: 212363 DEA: 07333404 EFIS: 0716000306 QA Service Level: 1
DIST-CO-RTE-PM: 07---
Work Description:
Location Description:
Contractor Name: C. A. RASMUSSEN, INC.
Contractor Address: 28548 LIVINGSTON AVENUE, VALENCIA CA 91355
Resident Engineer: James Riley Structure Rep.: Frank Lotfi

Sample Information

DIME Sample ID: 2018-06-15-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Acceptance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 06/15/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/19/2018
The quantity of what the sample constitutes: 1 heat 1 powder
A brief description of the sample: nunber 7 Green epoxy coated bar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Brighton CO

Material Information

Rebar Heat Number(s): 4073347
Rebar Epoxy Batch Number(s): UE86724NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): 7
Rebar Coating Color: Green
Rebar Manufacturer: CMC (Commercial Metals Company)
Rebar Coater: CMC Brighton CO
Rebar Powder Manufacturer: AkzoNobel Surface Chemistry, LLC
Release Number: Not applicable
Quality Assurance Code: Not applicable
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2018-06-15-2-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 06/22/2018
Date Tested: 06/20/2018
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

Test 2 of 2

DIME Test ID: 2018-06-15-2-3
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 06/22/2018
Date Tested: 06/20/2018
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:
First Bar Mean 8.09
Second Bar Mean 7.88
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 7.98
Total number of values less than LSL no data
Total number of values greater than USL no data