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Sample Record for 2018-02-23-1

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

Project Information

Project ID: 212702 DEA: 120N2604 EFIS: 1213000186 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-1-11.6
Work Description: PLACE HMA AND CONC BARRIER (TYPE K) AND PREPARE AND STAIN CONCRETE.
Location Description: ORANGE COUNTY NEAR LAGUNA BEACH AT 0.1 MILE NORTH OF MORO RIDGE ROAD
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606
Resident Engineer: Nabil Ruda Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-02-23-1
TL Number from the TL Form: Unknown
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: 02/23/2018
Date that the sample was received by the laboratory/organization performing the testing: 02/28/2018
The quantity of what the sample constitutes: 2028 lbs
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 Coating Co

Material Information

Rebar Heat Number(s): 1712850 595555
Rebar Epoxy Batch Number(s): 7G06
Rebar Coating Specification: ASTM A934
Rebar Size (#): 4
Rebar Coating Color: Purple
Rebar Manufacturer: Vinton,Everaz
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer: 3M
Release Number: Unknown
Quality Assurance Code: A93417B23R2S17G06
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2018-02-23-1-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 03/02/2018
Date Tested: 03/01/2018
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 10.24 mils
Second Bar Mean 9.6 mils
Total mean value 9.92 mils

Test 2 of 2

DIME Test ID: 2018-02-23-1-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 03/02/2018
Date Tested: 03/01/2018
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 2.6 ft
Holidays Per Linear Foot of Bar 0 holiday pe
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass