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Sample Record for 2019-10-16-1

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

Project Information

Project ID: 213916 DEA: 06484664 EFIS: 0618000213 COOP: 061681 QA Service Level: 2
DIST-CO-RTE-PM: 06-KER-58,99-R52.1/R52.5
Work Description: RT 58/99 BAKERSFIELD FREEWAY CONNECTOR -widening the existing SR 58/SR 99 grade separation structure and realigning the Westbound to Southbound loop connector. Auxiliary lane and collector-distributor lanes on Southbound SR 99.
Location Description: SR 58/SR 99
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Kriston Pelz Structure Rep.: Pelz Kriston

Sample Information

DIME Sample ID: 2019-10-16-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Acceptance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 10/16/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/18/2019
The quantity of what the sample constitutes: 13945lbs
A brief description of the sample: #8 A775 Epoxy Coated Rebar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coatings

Material Information

Rebar Heat Number(s): 1201013127
Rebar Epoxy Batch Number(s): VG86261NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): 8
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Western Coating
Rebar Powder Manufacturer: AkzoNobel
Release Number: 382
Quality Assurance Code:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2019-10-16-1-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 10/21/2019
Date Tested: 10/18/2019
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:
First Bar Mean 9.18
Second Bar Mean 9.65
Lower spec. limit LSL 7
Upper spec. limit USL 16
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 9.42
Total number of values less than LSL no data
Total number of values greater than USL no data

Test 2 of 2

DIME Test ID: 2019-10-16-1-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 10/21/2019
Date Tested: 10/18/2019
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:
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