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Sample Record for 2020-02-24-23

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

Project Information

Project ID: 212304 DEA: 021C7504 EFIS: 0200000080 QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-70-14.9
Work Description: CONCRETE BRIDGE, RETAINING WALLS, HMA, DRAINAGE AND GUARDRAIL.
Location Description: PLUMAS COUNTY NEAR BELDEN AT YELLOW CREEK BRIDGE 09-0008
Contractor Name: STEWART ENGINEERING INC
Contractor Address: PO Box 990010, Redding, CA 96099-0010
Resident Engineer: John Yolton Structure Rep.: Bryan Keene

Sample Information

DIME Sample ID: 2020-02-24-23
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 02/24/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 3 bars audit
A brief description of the sample: 2 coated #9 and one blasted #9 audit
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coating

Material Information

Rebar Heat Number(s): 373319
Rebar Epoxy Batch Number(s): VL56364NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): 9
Rebar Coating Color: Green
Rebar Manufacturer: Cascade Steel
Rebar Coater: Western Coating
Rebar Powder Manufacturer: AkzoNobel
Release Number: 55556
Quality Assurance Code:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2020-02-24-23-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 03/10/2020
Date Tested: 03/09/2020
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 5
Holidays Per Linear Foot of Bar 0.4
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 2 of 2

DIME Test ID: 2020-02-24-23-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 03/10/2020
Date Tested: 03/09/2020
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 9.14
Second Bar Mean 9.37
Lower spec. limit LSL 7
Upper spec. limit USL 16
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 9.26
Total number of values less than LSL no data
Total number of values greater than USL no data