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Testing Report for 2017-08-17-8-1

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

Project Information

DEA: 04235624
EFIS: 0400000678
Project ID: 209187
QA Service Level: 1
DIST-CO-RTE-PM: 04-SCL,SM-101-52.0/52.6,0.0/0.6
Work Description: BRIDGE REPLACEMENT
Location Description: SANTA CLARA AND SAN MATEO COUNTIES IN PALO ALTO AND EAST PALO ALTO FROM OREGON EXPRESSWAY OVERCROSSING TO 0.3 MILE SOUTH OF UNIVERSITY AVENUE OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Fernando Abela
Structure Rep.: Yannaing Tun

Sample Information

DIME Sample ID: 2017-08-17-8
TL Number from the TL Form: NA
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Retest
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 8/17/2017
Date that the sample was received by the laboratory/organization performing the testing: 9/1/2017
The quantity of what the sample constitutes: 8
A brief description of the sample: Purple Epoxy Coated HRC 555 End Anchors
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar Fletcher Coating

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 4067827
Head Manufacturer Lot Number(s): 1, 2
Rebar Size: #8
Headed Bar Model Name: HRC 555
Size of Head: Reduced Size - 4x
Head Connection Type: Forged
Head Shape: Circular
Rebar Manufacturer: CMC Rebar
Head Manufacturer: CMC HRC
Head Fabricator: CMC Rebar
Material Standard Code: ASTM A706

Test Information

DIME Test ID: 2017-08-17-8-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Date Tested: 9/1/2017
Verified Date: 9/5/2017
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

Lower spec. limit LSL: 7
Upper spec. limit USL: 12
Bar # for First Bar: 1
Bar # for Second Bar: 2
First Bar Mean: 12.07 mils
Second Bar Mean: 14.53 mils
Total mean value: 13.3 mils