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: 2018-11-07-2
TL Number from the TL Form: Unknown
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: 11/07/2018
Date that the sample was received by the laboratory/organization performing the testing: 11/07/2018
The quantity of what the sample constitutes: 1 lot of 100
A brief description of the sample: Epoxy Coated Loose Tie Bars
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: JC Supply and Manufacturing
Rebar Heat Number(s): 1202005282
Rebar Epoxy Batch Number(s): 8496027156
Rebar Coating Specification: ASTM A934
Rebar Size (#): 6
Rebar Coating Color: Purple
Rebar Manufacturer: Nucor
Rebar Coater: JC Supply And Manufacturing
Rebar Powder Manufacturer: Valspar
Release Number: Unknown
Quality Assurance Code: Unknown
DIME Test ID: 2018-11-07-2-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 11/16/2018
Date Tested: 11/14/2018
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
|
1
|
|
Bar # for Second Bar
|
2
|
|
First Bar Mean
|
8.38
|
|
Second Bar Mean
|
8.49
|
|
Total mean value
|
8.43
|
DIME Test ID: 2018-11-07-2-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 11/16/2018
Date Tested: 11/14/2018
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
|
1
|
|
Total Length
|
2.5
|
|
Holidays Per Linear Foot of Bar
|
0.4
|
|
Holiday Test Pass/Fail
|
Pass
|
|
Bend Test Pass/Fail
|
Pass
|
