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Testing Report for 2018-05-29-2-3

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

Project Information

DEA: 020E0904
EFIS: 0200000016
Project ID: 210808
QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-5-R29.3/R31.1,R45.0/R45.8
Work Description: REPLACE BRIDGE, REALIGN ROADWAY AND SEISMIC RETROFIT
Location Description: IN SHASTA COUNTY ABT 8 MI N OF SHASTA LAKE CTY AND NEAR LAKEHEAD FRM TURNTABLE BAY O/C TO 0.1 MI N OF O'BRIEN SRRA & FRM 0.4 MI S TO 0.3 MI N OF DOG CREEK BRIDGE.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nathan Alexander
Structure Rep.: Christopher S 'Chris' Brace

Sample Information

DIME Sample ID: 2018-05-29-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 5/29/2018
Date that the sample was received by the laboratory/organization performing the testing: 5/29/2018
The quantity of what the sample constitutes: Lot 1
A brief description of the sample: A934 Expoxy 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): SE17105443, 1202001673
Rebar Epoxy Batch Number(s): 8A25B179 8A26A173
Rebar Coating Specification: ASTM A934
Rebar Size (#): 5
Rebar Coating Color: Purple
Rebar Manufacturer: Gredau
Rebar Coater: Fletcher Coating Company
Rebar Powder Manufacturer: Unknown
Release Number: Unknown
Quality Assurance Code: Unknown

Test Information

DIME Test ID: 2018-05-29-2-3
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Date Tested: 6/7/2018
Verified Date: 6/7/2018
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: 5
Bar # for Second Bar: 5
First Bar Mean: 10.33
Second Bar Mean: 10.45
Total mean value: 10.39