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Sample Record for 2022-01-18-8

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Project Information

Project ID: 214921 DEA: 09367404 EFIS: 0916000025 QA Service Level: 1
DIST-CO-RTE-PM: 09-KER-14-R4.7/R12.6
Work Description: CONSTRUCT CRCP OVER EXISTING PAVEMENT AND PLACE HMA.
Location Description: KERN COUNTY AT AND NEAR ROSAMOND AND MOJAVE FROM 1.4 MILES SOUTH OF DAWN ROAD OVERCROSSING TO 0.5 MILE NORTH OF SILVER QUEEN ROAD OVERCROSSING
Contractor Name: Jesus Pena
Contractor Address: 18201 Von Karman, Suite #800, IRVINE CA 92612
Resident Engineer: Hin Hartanto Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-01-18-8
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 01/18/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/27/2022
The quantity of what the sample constitutes: 40,000 lbs
A brief description of the sample: #4, A-706, A-775 Epoxy Coated
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar Brighton

Material Information

Rebar Heat Number(s): 4114910
Rebar Epoxy Batch Number(s):
Rebar Coating Specification: ASTM A775
Rebar Size (#): 4
Rebar Coating Color: Green
Rebar Manufacturer: CMC Steel AZ
Rebar Coater: CMC Brighton CO
Rebar Powder Manufacturer: AkzoNobel
Release Number: K210318
Quality Assurance Code:
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2022-01-18-8-1
Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 02/08/2022
Date Tested: 02/02/2022
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

Test 2 of 2

DIME Test ID: 2022-01-18-8-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 02/08/2022
Date Tested: 02/02/2022
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 8.82
Second Bar Mean 8.96
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 8.89
Total number of values less than LSL no data
Total number of values greater than USL no data