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Sample Record for 2018-10-01-3

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

Project Information

Project ID: 213267 DEA: 04013584 EFIS: 0416000289 QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-80-8.0/8.3,0.9/1.4
Work Description: Pier Retention
Location Description: In San Francisco and Alameda Counties on Yerba Buena Island and .4 miles west of Oakland Toll plaza
Contractor Name: Kiewit/Manson, AJV
Contractor Address: 4650 Business Center Drive, Fairfield,CA 94804
Resident Engineer: Brian Boal Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-10-01-3
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: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 10/01/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/08/2018
The quantity of what the sample constitutes: 4,912 lbs.
A brief description of the sample: Green epoxy coated bar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar

Material Information

Rebar Heat Number(s): 4066937
Rebar Epoxy Batch Number(s): UG13643NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): 4
Rebar Coating Color: Green
Rebar Manufacturer: nucor
Rebar Coater: CMC Brighton C0
Rebar Powder Manufacturer: Akzo
Release Number: TY180035
Quality Assurance Code: A775
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2018-10-01-3-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 10/09/2018
Date Tested: 10/09/2018
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 7.72
Second Bar Mean 9.33
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 8.53
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 2

DIME Test ID: 2018-10-01-3-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 10/09/2018
Date Tested: 10/09/2018
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