Project Information

Project ID: 210569 DEA: 083555V4 EFIS: 0814000086 QA Service Level: 1

DIST-CO-RTE-PM: 08-SBD-15-42.5/46.0

Work Description: WIDEN I-15, RECONSTRUCT 3 IC'S, CONSTRUCT 2 NEW BR AND WIDEN 3 BR.

Location Description: SAN BERNARDINO COUNTY IN VICTORVILLE FROM 0.5 MILE NORTH OF MOJAVE DRIVE TO 1.5 MILE NORTH OF STODDARD WELLS ROAD OVERCROSSING

Contractor Name: Ames Construction

Contractor Address: 2000 AMES DRIVE, BURNSVILLE, MN 55306

Resident Engineer: Taghreed Al-Khateeb Structure Rep.: Ravinder Singh

Sample Information

DIME Sample ID: 2019-05-29-4

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: 05/29/2019

Date that the sample was received by the laboratory/organization performing the testing: 05/29/2019

The quantity of what the sample constitutes: 4

A brief description of the sample: ASTM A934 Rebar

From where was the sample collected: Fabricator

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Nucor JC Supply

Material Information

Rebar Heat Number(s): 1201005300

Rebar Epoxy Batch Number(s): 9296029355

Rebar Coating Specification: ASTM A934

Rebar Size (#): 6

Rebar Coating Color: Purple

Rebar Manufacturer: Nucor

Rebar Coater: JC Supply And Manufacturing

Rebar Powder Manufacturer: Unknown

Release Number: Unknown

Quality Assurance Code: Unknown

Test Results

Test 1 of 2

DIME Test ID: 2019-05-29-4-1

Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)

Verified Date: 06/06/2019

Date Tested: 06/04/2019

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	9.06
Second Bar Mean	9.51
Total mean value	9.29

Test 2 of 2

DIME Test ID: 2019-05-29-4-2

Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)