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Sample Record for 2018-07-17-6

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

Project Information

Project ID: 212741 DEA: 020E1804 EFIS: 0200000022 QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-89-29.8/30.2
Work Description: BRIDGE REPLACEMENT
Location Description: PLUMAS COUNTY NEAR CANYON DAM FROM 0.2 MILE SOUTH TO 0.3 MILE NORTH OF LAKE ALMANOR SPILLWAY
Contractor Name: Q&D CONSTRUCTION, INC.
Contractor Address: P.O Box 10865, Reno, NV 89510
Resident Engineer: Ryan Johnson Structure Rep.: Matt Crete

Sample Information

DIME Sample ID: 2018-07-17-6
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: 07/17/2018
Date that the sample was received by the laboratory/organization performing the testing: 07/20/2018
The quantity of what the sample constitutes: 1 lot of each heat
A brief description of the sample: No 4 and 5 green 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): 4 -4074534 5 - 407739
Rebar Epoxy Batch Number(s): UE86724NA for both
Rebar Coating Specification: ASTM A775
Rebar Size (#): 4 and 5
Rebar Coating Color: Green
Rebar Manufacturer: CMC (Commercial Metals Company)
Rebar Coater: CMC Brighton CO
Rebar Powder Manufacturer: AkzoNobel Surface Chemistry, LLC
Release Number: N/A
Quality Assurance Code: N/A
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2018-07-17-6-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 07/20/2018
Date Tested: 07/20/2018
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: #4/13mm
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 9.58
Second Bar Mean 11.53
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 10.55
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 4

DIME Test ID: 2018-07-17-6-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 07/20/2018
Date Tested: 07/20/2018
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: #4/13mm
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 4

DIME Test ID: 2018-07-17-6-3
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 07/20/2018
Date Tested: 07/20/2018
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: #5/16mm
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 10.57
Second Bar Mean 9.25
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 9.91
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 4 of 4

DIME Test ID: 2018-07-17-6-4
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 07/20/2018
Date Tested: 07/20/2018
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: #5/16mm
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