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

Sample Record for 2018-06-15-5


Project Information

Project ID: 212888 DEA: 07202124 EFIS: 0700020870 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-710-20.9/24.6
Work Description: PAVEMENT REHABILITATION AND BRIDGE WIDENING
Location Description: LOS ANGELES COUNTY IN AND NEAR BELL, VERNON, AND CITY OF COMMERCE, FROM 0.2 MILE SOUTH OF SLAUSON AVENUE OVERCROSSING TO 0.1 MILE NORTH OF THIRD STREET OVERCROSSING
Contractor Name: FLATIRON WEST, INC. Contractor Address: 15335 Fairfield Ranch Road, Suite 200
Resident Engineer: Peter Lee Structure Rep.: Holloway, James

Sample Information

DIME Sample ID: 2018-06-15-5
TL Number from the TL Form:
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: (510) 385-8178
Type of Sample: Quality Assurance
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:
The quantity of what the sample constitutes: XXX
A brief description of the sample: A934 Expoxy Rebar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Rebar Heat Number(s): XXX
Rebar Epoxy Batch Number(s):
Rebar Coating Specification: ASTM A934
Rebar Size (#): 8
Rebar Coating Color: Purple
Rebar Manufacturer: Unknown
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer: Unknown
Release Number:
Quality Assurance Code:

Test Results

Test 1 of 2

DIME Test ID: 2018-06-15-5-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 06/21/2018
Date Tested: 06/20/2018
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd
Test General Comments:
Additional Comments When Verified:
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 8
Bar # for Second Bar 8
First Bar Mean 7.76
Second Bar Mean 7.5
Total mean value 7.63

Test Results

Test 2 of 2

DIME Test ID: 2018-06-15-5-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 06/21/2018
Date Tested: 06/20/2018
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd
Test General Comments:
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