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Testing Report for 2021-05-05-8-1

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: STOCK EFIS: 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: 2021-05-05-8
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Verification
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 05/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/10/2021
The quantity of what the sample constitutes: AD Audit
A brief description of the sample: #9 A775 Epoxy Coated Rebar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coatings Ogden, UT

Material Information

Rebar Heat Number(s): 1201031401
Rebar Epoxy Batch Number(s): C210835
Rebar Coating Specification: ASTM A775
Rebar Size (#): 9
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Western Coating Ogden UT
Rebar Powder Manufacturer: Pureflex Green
Release Number: AD Audit
Quality Assurance Code:

Test Information

DIME Test ID: 2021-05-05-8-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars
Verified Date: 05/13/2021
Date Tested: 05/11/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Total Number of Holiday 16
Total Length 5
Holidays Per Linear Foot of Bar 3.2
Holiday Test Pass/Fail Fail
Bend Test Pass/Fail NA