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Sample Record for 2019-06-20-18

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

Project Information

Project ID: 213357 DEA: 024F2004 EFIS: 0212000071 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-44-59.4/59.8
Work Description: BRIDGE REPLACEMENT
Location Description: SHASTA COUNTY NEAR OLD STATION FROM 0.3 MILE WEST TO 0.2 MILE EAST OF HAT CREEK BRIDGE
Contractor Name: Steelhead Constructors, Inc
Contractor Address: 2490 Innsbruck Dr, Redding, CA-96003
Resident Engineer: Nathan Alexander Structure Rep.: Christopher Brace

Sample Information

DIME Sample ID: 2019-06-20-18
TL Number from the TL Form: C741535 C741537
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 06/20/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/24/2019
The quantity of what the sample constitutes: 4
A brief description of the sample: Epoxy Coated Rebar
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): 4086972 4086945
Rebar Epoxy Batch Number(s):
Rebar Coating Specification: ASTM A775
Rebar Size (#): #5
Rebar Coating Color: Green
Rebar Manufacturer: CMC Rebar
Rebar Coater: CMC Brighton
Rebar Powder Manufacturer: Unknown
Release Number: Unknown
Quality Assurance Code: Unknown
Test results on following page(s): 4

Test Results

Test 1 of 4

DIME Test ID: 2019-06-20-18-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 06/27/2019
Date Tested: 06/25/2019
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: HT#4086972
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 9.11
Second Bar Mean 10.6
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 9.85
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 4

DIME Test ID: 2019-06-20-18-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 06/27/2019
Date Tested: 06/25/2019
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: HT#4086972
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 5
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 3 of 4

DIME Test ID: 2019-06-20-18-3
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 06/27/2019
Date Tested: 06/25/2019
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: HT#4086945
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 10.43
Second Bar Mean 10.51
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 3
Bar # for Second Bar 4
Total mean value 10.47
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 4 of 4

DIME Test ID: 2019-06-20-18-4
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 06/27/2019
Date Tested: 06/25/2019
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: HT#4086945
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 5
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass