Project Information

Project ID: 208945 DEA: 07288604 EFIS: 0700021080 COOP: 074663 QA Service Level: 1

DIST-CO-RTE-PM: 07-LA-710-6.0-9.4

Work Description: Gerald Desmond Bridge Replacement - A Design Build project. IQA samples will be selected by Port/Caltrans representatives and sent to Translab for testing.

Location Description: Port of Long Beach (District 7)

Contractor Name: Shimmick/FCC/Impregilo (SFI) JV

Contractor Address: 11 Golden Shore, Suite 330, Long Beach, CA 90802

Resident Engineer: Structure Rep.:

Sample Information

DIME Sample ID: 2016-10-14-8

TL Number from the TL Form: C952551

Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory

Sample Organization Contact: (530) 329-6527

Type of Sample: Quality Assurance

Type of Material: SMTL TM7 - Epoxy Coated Rebar

Sample Taken Date: 10/14/2016

Date that the sample was received by the laboratory/organization performing the testing: 11/02/2016

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: Unknown

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: CMC Rebar Fletcher

Material Information

Rebar Heat Number(s): 4039879

Rebar Epoxy Batch Number(s): Unknown

Rebar Coating Specification: ASTM A934

Rebar Size (#): #9

Rebar Coating Color: Purple

Rebar Manufacturer: CMC Rebar

Rebar Coater: Fletcher Coating Company

Rebar Powder Manufacturer: Unknown

Release Number: 2002HTB 6332WHP

Quality Assurance Code: A93416J14R2S1 6H02

Test Results

Test 1 of 2

DIME Test ID: 2016-10-14-8-1

Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)

Verified Date: 11/02/2016

Date Tested: 11/02/2016

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	10.89 mils
Second Bar Mean	10.81 mils
Lower spec. limit LSL	7 mils
Upper spec. limit USL	12 mils
Bar # for First Bar	no data
Bar # for Second Bar	no data
Total mean value	10.85 mils
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: 2016-10-14-8-2

Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)