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Sample Record for 2020-12-09-3

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

Project Information

Project ID: 214397 DEA: 120N3204 EFIS: 1213000196 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91-R9.8/R18.9
Work Description: CONST PRECAST SLAB REPLACEMENT, COLD PLANE AC PVMT AND PLACE RHMA.
Location Description: ORANGE COUNTY IN ANAHEIM AND YORBA LINDA FROM 0.3 MILE WEST OF LAKEVIEW AVENUE OVERCROSSING TO RIVERSIDE COUNTY LINE
Contractor Name: ACME CONCRETE PAVING INC
Contractor Address: 4124 E BROADWAY AVE, SPOKANE WA 99202
Resident Engineer: Dat Pham Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-12-09-3
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 12/09/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/23/2020
The quantity of what the sample constitutes: 2860 bars
A brief description of the sample: Epoxy Coated Loose Dowels
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Construction Materials, Inc

Material Information

Rebar Heat Number(s): 7011000
Rebar Epoxy Batch Number(s): 4792141
Rebar Coating Specification: ASTM A775
Rebar Size (#): 1-1/4" x 18'
Rebar Coating Color: Green
Rebar Manufacturer: CMC
Rebar Coater: Construction Materials Inc
Rebar Powder Manufacturer:
Release Number:
Quality Assurance Code:

Test Results

Test 1 of 2

DIME Test ID: 2020-12-09-3-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 01/04/2021
Date Tested: 12/28/2020
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
First Bar Mean 10.47
Second Bar Mean 9.98
Lower spec. limit LSL 7
Upper spec. limit USL 40
Total mean value 10.22
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: 2020-12-09-3-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 01/04/2021
Date Tested: 12/28/2020
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Total Number of Holiday 0
Total Length 3
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.