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Sample Record for 2023-05-03-1

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

Project Information

Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-05-03-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Recertification
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 05/03/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2023
The quantity of what the sample constitutes: 2
A brief description of the sample: 30"
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Fletcher Coating Co

Material Information

Rebar Heat Number(s): 006523 006623
Rebar Epoxy Batch Number(s): 3C13
Rebar Coating Specification: ASTM A934
Rebar Size (#): 6
Rebar Coating Color: Purple
Rebar Manufacturer: Cascade Rebar
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer: 3M
Release Number: 33475
Quality Assurance Code: A93423E03R2S13C13
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2023-05-03-1-1
Test Method: ASTM A934-19: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 05/17/2023
Date Tested: 05/17/2023
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 8.64
Second Bar Mean 9.25
Total mean value 8.95

Test 2 of 2

DIME Test ID: 2023-05-03-1-2
Test Method: ASTM A934-19: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 05/17/2023
Date Tested: 05/17/2023
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 1
Total Length 5
Holidays Per Linear Foot of Bar 0.2
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass