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Sample Record for 2020-12-09-3

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

Project Information

Project ID: 214397 DEA: 120N3204 EFIS: 1213000196 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91-R9.8/R18.9
Work Description: CONST PRECAST SLAB REPLACEMENT, COLD PLANE AC PVMT AND PLACE RHMA.
Location Description: ORANGE COUNTY IN ANAHEIM AND YORBA LINDA FROM 0.3 MILE WEST OF LAKEVIEW AVENUE OVERCROSSING TO RIVERSIDE COUNTY LINE
Contractor Name: ACME CONCRETE PAVING INC
Contractor Address: 4124 E BROADWAY AVE, SPOKANE WA 99202
Resident Engineer: Dat Pham Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-12-09-3
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: 12/09/2020
Date that the sample was received by the laboratory/organization performing the testing: 12/23/2020
The quantity of what the sample constitutes: 2860 bars
A brief description of the sample: Epoxy Coated Loose Dowels
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Construction Materials, Inc

Material Information

Rebar Heat Number(s): 7011000
Rebar Epoxy Batch Number(s): 4792141
Rebar Coating Specification: ASTM A775
Rebar Size (#): 1-1/4" x 18'
Rebar Coating Color: Green
Rebar Manufacturer: CMC
Rebar Coater: Construction Materials Inc
Rebar Powder Manufacturer:
Release Number:
Quality Assurance Code:

Test Results

Test 1 of 2

DIME Test ID: 2020-12-09-3-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 01/04/2021
Date Tested: 12/28/2020
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 10.47 mils
Second Bar Mean 9.98 mils
Lower spec. limit LSL 7 mils
Upper spec. limit USL 40 mils
Total mean value 10.22 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: 2020-12-09-3-2
Test Method: ASTM A884-13: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Holiday)
Verified Date: 01/04/2021
Date Tested: 12/28/2020
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 3
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass