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Sample Record for 2018-08-09-3

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Project Information

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

Sample Information

DIME Sample ID: 2018-08-09-3
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: 1935
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

Material Information

Rebar Heat Number(s): 4077610, 4077649, 65031220
Rebar Epoxy Batch Number(s): 8296026502
Rebar Coating Specification: ASTM A934
Rebar Size (#): 6
Rebar Coating Color: Purple
Rebar Manufacturer: CMC Gerdau
Rebar Coater: JC Supply And Manufacturing
Rebar Powder Manufacturer:
Release Number:
Quality Assurance Code:

Test Results

Test 1 of 3

DIME Test ID: 2018-08-09-3-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 08/27/2018
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: Heat #4077649
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 20
Total Length 5.2
Holidays Per Linear Foot of Bar 3.8
Holiday Test Pass/Fail Fail
Bend Test Pass/Fail NA

Test 2 of 3

DIME Test ID: 2018-08-09-3-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 08/27/2018
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: Heat #65031220
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 20
Total Length 5.2
Holidays Per Linear Foot of Bar 3.8
Holiday Test Pass/Fail Fail
Bend Test Pass/Fail NA

Test 3 of 3

DIME Test ID: 2018-08-09-3-3
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 08/27/2018
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: Heat #4077610
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 30
Total Length 5.2
Holidays Per Linear Foot of Bar 5.8
Holiday Test Pass/Fail Fail
Bend Test Pass/Fail NA