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Sample Record for 2022-09-14-28

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Project Information

Project ID: 214988 DEA: 050L7214 EFIS: 0515000097 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-1-32.6
Work Description: REMOVE & CONSTRUCT CONCRETE BRIDGE, CONCRETE SLAB, BRIDGE RAIL & HMA.
Location Description: SAN LUIS OBISPO COUNTY IN MORRO BAY AT TORO CREEK BRIDGE
Contractor Name: Souza Engineering Contracting, Inc
Contractor Address: 4027 SANTA FE ROAD, SAN LUIS OBISPO CA 93401
Resident Engineer: Rick Silva Structure Rep.: Salvador Heredia

Sample Information

DIME Sample ID: 2022-09-14-28
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: 09/14/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/16/2022
The quantity of what the sample constitutes: 100
A brief description of the sample: #5-24" long - Epoxy Coated Dowels
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Steel

Material Information

Rebar Heat Number(s): 4118431, 4118454
Rebar Epoxy Batch Number(s):
Rebar Coating Specification: ASTM A934
Rebar Size (#): 0.625 in.
Rebar Coating Color: Purple
Rebar Manufacturer: CMC Steel AZ
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer:
Release Number:
Quality Assurance Code: A93422F13R2S11K21

Test Results

Test 1 of 2

DIME Test ID: 2022-09-14-28-1
Test Method: ASTM A934-19: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 09/27/2022
Date Tested: 09/27/2022
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:
Lower spec. limit LSL 7 mils
Upper spec. limit USL 12 mils
Bar # for First Bar 1
Bar # for Second Bar 2
First Bar Mean 10
Second Bar Mean 8.75
Total mean value 9.38

Test 2 of 2

DIME Test ID: 2022-09-14-28-2
Test Method: ASTM A934-19: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 09/27/2022
Date Tested: 09/27/2022
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 4
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass