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Sample Record for 2018-10-05-4

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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, Chino Hills, CA 91709
Resident Engineer: Peter Lee Structure Rep.: James Holloway

Sample Information

DIME Sample ID: 2018-10-05-4
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: 10/05/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/11/2018
The quantity of what the sample constitutes: 850
A brief description of the sample: AD Audit Sample ASTM A934 Rebar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fletcher Coating Co

Material Information

Rebar Heat Number(s): 4077925
Rebar Epoxy Batch Number(s): CE-1007-7293-5
Rebar Coating Specification: ASTM A934
Rebar Size (#): 8
Rebar Coating Color: Purple
Rebar Manufacturer: CMC Steel Arizona
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer: 3M
Release Number:
Quality Assurance Code: A93418J03R2S18G25
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2018-10-05-4-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 10/16/2018
Date Tested: 10/15/2018
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 8A
Bar # for Second Bar 8B
First Bar Mean 9.87
Second Bar Mean 9.44
Total mean value 9.65

Test 2 of 2

DIME Test ID: 2018-10-05-4-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 10/16/2018
Date Tested: 10/15/2018
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