Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213021 DEA: 010C7504 EFIS: 0113000046
QA Service Level: 1
DIST-CO-RTE-PM: 01-LAK-29-9.6/10.3
Work Description: CONSTRUCT ROUNDABOUT
Location Description: LAKE COUNTY NEAR MIDDLETOWN FROM PUTAH LANE TO 0.3 MILE NORTH OF SPRUCE ROAD
Contractor Name: GHILOTTI CONSTRUCTION CO. INC.
Contractor Address: 246 GHILOTTI AVENUE, SANTA ROSA, CA 95407
Resident Engineer: Dan Kraft Structure Rep.: Unknown
DIME Sample ID: 2018-10-24-8
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: 10/24/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/29/2018
The quantity of what the sample constitutes: 275
A brief description of the sample: ASTM A934 Tie Bar Basket Loose Tie Bars
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: J C Supply - Manufacturing
Rebar Heat Number(s): 1201000392 1202000381
Rebar Epoxy Batch Number(s): 8896028108
Rebar Coating Specification: ASTM A934
Rebar Size (#): 6
Rebar Coating Color: Purple
Rebar Manufacturer: Nucor
Rebar Coater: J C Supply Manufactuting
Rebar Powder Manufacturer: Valspar
Release Number:
Quality Assurance Code:
DIME Test ID: 2018-10-24-8-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 10/31/2018
Date Tested: 10/31/2018
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
|
1201000392-1
|
|
Bar # for Second Bar
|
1201000392-2
|
|
First Bar Mean
|
9.71
|
|
Second Bar Mean
|
10.83
|
|
Total mean value
|
10.27
|
DIME Test ID: 2018-10-24-8-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 10/31/2018
Date Tested: 10/31/2018
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
|
7
|
|
Total Length
|
2.6
|
|
Holidays Per Linear Foot of Bar
|
2.7
|
|
Holiday Test Pass/Fail
|
Fail
|
|
Bend Test Pass/Fail
|
NA
|
DIME Test ID: 2018-10-24-8-3
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 10/31/2018
Date Tested: 10/31/2018
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
|
120200381-1
|
|
Bar # for Second Bar
|
120200381-2
|
|
First Bar Mean
|
8.72
|
|
Second Bar Mean
|
9.58
|
|
Total mean value
|
9.15
|
DIME Test ID: 2018-10-24-8-4
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 10/31/2018
Date Tested: 10/31/2018
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
|
2
|
|
Total Length
|
2.6
|
|
Holidays Per Linear Foot of Bar
|
0.8
|
|
Holiday Test Pass/Fail
|
Pass
|
|
Bend Test Pass/Fail
|
Pass
|
