Project Information

Project ID: 214698 DEA: 120N8904 EFIS: 1214000130 QA Service Level: 1

DIST-CO-RTE-PM: 12-ORA-133-8.3/M9.3

Work Description: CONSTRUCT AUXILIARY LANE.

Location Description: ORANGE COUNTY IN IRVINE FROM ROUTE 133/405 SEPARATION TO IRVINE CENTER DRIVE OVERCROSSING

Contractor Name: SECURITY PAVING COMPANY, INC.

Contractor Address: 3200 Park Center Drive, Suite #200, Costa Mesa, CA 92626

Resident Engineer: Arezo Ghiam Structure Rep.: Melissa Quintana

Sample Information

DIME Sample ID: 2024-05-29-1

TL Number from the TL Form: L140-041-24

Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office

Sample Organization Contact: (858) 285-5797

Type of Sample: Quality Assurance

Type of Material: SMTL TM7 - Epoxy Coated Rebar

Sample Taken Date: 05/29/2024

Date that the sample was received by the laboratory/organization performing the testing: 05/31/2024

The quantity of what the sample constitutes: 130

A brief description of the sample: Epoxy Anchor Dowels

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Western Coatings

Material Information

Rebar Heat Number(s): 1201056569

Rebar Epoxy Batch Number(s): CH3553NL

Rebar Coating Specification: ASTM A775

Rebar Size (#): 6

Rebar Coating Color: Green

Rebar Manufacturer: Nucor

Rebar Coater: Western Coating Ogden UT

Rebar Powder Manufacturer: Sherwin Williams

Release Number: 211-E1, 212-E1, 212-ET,216-E1

Quality Assurance Code:

Test Results

Test 1 of 2

DIME Test ID: 2024-05-29-1-1

Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)

Verified Date: 06/11/2024

Date Tested: 06/06/2024

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: complies

Additional Comments When Verified:

First Bar Mean	10.13
Second Bar Mean	10.4
Lower spec. limit LSL	7
Upper spec. limit USL	16
Bar # for First Bar	1
Bar # for Second Bar	2
Total mean value	10.26
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: 2024-05-29-1-2

Test Method: ASTM A775-19: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)