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Sample Record for 2017-07-27-7

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

Project Information

Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-37.2/42.4
Work Description: CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location Description: IN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
Contractor Name: Guy F. Atkinson
Contractor Address: 18201 Von Karman Ave, Suite #800, IRVINE CA 92612
Resident Engineer: Rodolfo Cao Structure Rep.: David Win

Sample Information

DIME Sample ID: 2017-07-27-7
TL Number from the TL Form: C970786
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: 07/27/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/02/2017
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: Fletcher

Material Information

Rebar Heat Number(s): 4067057
Rebar Epoxy Batch Number(s): 3528580
Rebar Coating Specification: ASTM A934
Rebar Size (#): 7
Rebar Coating Color: Purple
Rebar Manufacturer: CMC Rebar
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer: Unknown
Release Number: Unknown
Quality Assurance Code: A93417G27R2S128580
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2017-07-27-7-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 08/03/2017
Date Tested: 08/03/2017
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 9.99 mils
Second Bar Mean 10.14 mils
Total mean value 10.06 mils

Test 2 of 2

DIME Test ID: 2017-07-27-7-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 08/03/2017
Date Tested: 08/03/2017
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 ft
Holidays Per Linear Foot of Bar 0.2 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass