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Sample Record for 2020-04-09-5

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Project Information

Project ID: 214449 DEA: 030H3414 EFIS: 0317000152 QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-R28.5/R29.1,R31.2
Work Description: REPLACE BRIDGE, RESTORE CULVERTS, AND ADD HIGHWAY PLANTING.
Location Description: EL DORADO COUNTY NEAR POLLOCK PINES FROM 0.3 MILE WEST TO 0.3 MILE EAST OF RIDGEWAY DRIVE UNDERCROSSING AND AT 0.1 MILE WEST OF SLY PARK ROAD UNDERCROSSING
Contractor Name: Flatiron West
Contractor Address: 2100 Goodyear Road, Benicia, CA 94510
Resident Engineer: Jody Phillips Structure Rep.: Joe Harline

Sample Information

DIME Sample ID: 2020-04-09-5
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: 04/09/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/15/2020
The quantity of what the sample constitutes: 9179
A brief description of the sample: #4 A775 Rebar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coatings

Material Information

Rebar Heat Number(s): 434119
Rebar Epoxy Batch Number(s): 3CH11936008
Rebar Coating Specification: ASTM A775
Rebar Size (#): 4
Rebar Coating Color: Green
Rebar Manufacturer: Cascade
Rebar Coater: Western Coating Eugene OR
Rebar Powder Manufacturer: Valspar
Release Number: 45847
Quality Assurance Code: Unknown

Test Results

Test 1 of 2

DIME Test ID: 2020-04-09-5-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 04/16/2020
Date Tested: 04/16/2020
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 0
Total Length 2.5
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 2 of 2

DIME Test ID: 2020-04-09-5-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 04/16/2020
Date Tested: 04/16/2020
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 9.13
Second Bar Mean 8.97
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 9.05
Total number of values less than LSL no data
Total number of values greater than USL no data