Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212562 DEA: 024G5504 EFIS: 0214000036
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-5-2.7/R11.4
Work Description: RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location Description: SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
Contractor Name: J.F. SHEA CONSTRUCTION
Contractor Address: P.O. BOX 494519, REDDING, CA 96049-4519
Resident Engineer: Nicole Mallory Structure Rep.: Andrew Osullivan
DIME Sample ID: 2018-08-09-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 08/09/2018
Date that the sample was received by the laboratory/organization performing the testing: 08/09/2018
The quantity of what the sample constitutes: 357
A brief description of the sample: Retest ASTM A934
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JC Supply Manufacturing
Rebar Heat Number(s): 4076159
Rebar Epoxy Batch Number(s): 8496027156, 8596027332
Rebar Coating Specification: ASTM A934
Rebar Size (#): 6
Rebar Coating Color: Purple
Rebar Manufacturer: CMC
Rebar Coater: JC Supply And Manufacturing
Rebar Powder Manufacturer: Valspar
Release Number:
Quality Assurance Code:
DIME Test ID: 2018-08-09-1-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 08/21/2018
Date Tested: 08/16/2018
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
|
4076159 - 1
|
Bar # for Second Bar
|
4076159 - 2
|
First Bar Mean
|
9.36
|
Second Bar Mean
|
8.39
|
Total mean value
|
8.88
|
DIME Test ID: 2018-08-09-1-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 08/21/2018
Date Tested: 08/16/2018
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
|
4076159-3
|
Bar # for Second Bar
|
4076159-3
|
First Bar Mean
|
9.06
|
Second Bar Mean
|
8.91
|
Total mean value
|
8.98
|
DIME Test ID: 2018-08-09-1-3
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 08/21/2018
Date Tested: 08/16/2018
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
|
3
|
Total Length
|
5.2
|
Holidays Per Linear Foot of Bar
|
0.6
|
Holiday Test Pass/Fail
|
Pass
|
Bend Test Pass/Fail
|
Pass
|