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Sample Record for 2021-03-09-1

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

Project Information

Project ID: 214937 DEA: 11288834 EFIS: 1117000088 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-11,125,905-various
Work Description: CONSTRUCT CONCRETE BRIDGE, PAVEMENT, BARRIER, AND INSTALL LIGHTING. HPLUL-6211(133) SR-125 SB to WB SR-905
Location Description: SAN DIEGO COUNTY IN AND NEAR SAN DIEGO AT ROUTE 11/125/905 SEPARATION
Contractor Name: FLATIRON WEST INC
Contractor Address: 16470 W. Bernardo Drive, Suite 120, San Diego CA 92127
Resident Engineer: Carlos Covarrubias Structure Rep.: Michael Charak

Sample Information

DIME Sample ID: 2021-03-09-1
TL Number from the TL Form:
Sample Submitted By Organization: Caltrans Vallejo Field Laboratory
Sample Organization Contact: (510) 774-6009
Type of Sample: Recertification
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 03/09/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/17/2021
The quantity of what the sample constitutes: 2
A brief description of the sample: Epoxy Coated Rebar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar

Material Information

Rebar Heat Number(s): 4105690
Rebar Epoxy Batch Number(s): WM25426NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): 5
Rebar Coating Color: Green
Rebar Manufacturer: CMC
Rebar Coater: CMC Brighton CO
Rebar Powder Manufacturer: Akzo Noble Coating
Release Number: 1
Quality Assurance Code:

Test Results

Test 1 of 2

DIME Test ID: 2021-03-09-1-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 03/23/2021
Date Tested: 03/18/2021
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 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: 2021-03-09-1-4
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 03/23/2021
Date Tested: 03/19/2021
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 10.77
Second Bar Mean 11.04
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 10.91
Total number of values less than LSL no data
Total number of values greater than USL no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2021-03-09-1-1ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)03/19/202103/18/2021Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryFred Saylor
2021-03-09-1-3ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)03/19/202103/19/2021Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryFred Saylor