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Sample Record for 2018-05-31-11

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

Project Information

Project ID: 212703 DEA: 120N6004 EFIS: 1214000066 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-142-R0.8/2.9
Work Description: COLD PLANE/OVERLAY, REPLACE ROADWAY SIGNS, UPGRADE CURB RAMPS
Location Description: ORANGE COUNTY IN BREA FROM ROUTE 90/142 TO BREA HILLS AVENUE
Contractor Name: R.J. NOBLE COMPANY
Contractor Address: 15505 E. LINCOLN AVE., P.O. BOX 620, ORANGE CA 92856-9020
Resident Engineer: Mohamad Yacoub Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2018-05-31-11
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 05/31/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/05/2018
The quantity of what the sample constitutes: 17291
A brief description of the sample: Epoxy Coated tie bar basket
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dayton Superior

Material Information

Rebar Heat Number(s): SE18101167
Rebar Epoxy Batch Number(s): 7T96025847
Rebar Coating Specification: ASTM A775
Rebar Size (#): 6
Rebar Coating Color: Green
Rebar Manufacturer: Nucor
Rebar Coater: Dayton Superior
Rebar Powder Manufacturer: Valspar
Release Number: 1414423-4
Quality Assurance Code:

Test Results

Test 1 of 2

DIME Test ID: 2018-05-31-11-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 06/07/2018
Date Tested: 06/07/2018
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:
First Bar Mean 13.9
Second Bar Mean 14.14
Lower spec. limit LSL 7
Upper spec. limit USL 16
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 14.01
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: 2018-05-31-11-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 06/07/2018
Date Tested: 06/07/2018
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
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass