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Sample Record for 2019-11-25-35

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

Project Information

Project ID: 214008 DEA: 112N0034 EFIS: 1117000118 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-8,15,125-VARIOUS
Work Description: DECK TREATMENT, REPLACE JOINT SEALS AND REPAIR SPALLS.
Location Description: SAN DIEGO COUNTY AT VARIOUS LOCATIONS
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16361 Construction Circle West, Irvine, CA 92606
Resident Engineer: John Williamson Structure Rep.: Brandon Farmer

Sample Information

DIME Sample ID: 2019-11-25-35
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 11/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 12/05/2019
The quantity of what the sample constitutes: 2
A brief description of the sample: Epoxy Coated Rebar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coating

Material Information

Rebar Heat Number(s): 395319 395119
Rebar Epoxy Batch Number(s): VG84141NA
Rebar Coating Specification: ASTM A775
Rebar Size (#): 4
Rebar Coating Color: Green
Rebar Manufacturer: Cascade Steel
Rebar Coater: Western Coating
Rebar Powder Manufacturer: Unknown
Release Number: Unknown
Quality Assurance Code: Unknown

Test Results

Test 1 of 2

DIME Test ID: 2019-11-25-35-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 12/12/2019
Date Tested: 12/09/2019
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 5
Holidays Per Linear Foot of Bar 0
Holiday Test Pass/Fail Pass
Bend Test Pass/Fail Pass

Test 2 of 2

DIME Test ID: 2019-11-25-35-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 12/12/2019
Date Tested: 12/09/2019
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 9.51
Second Bar Mean 9.45
Lower spec. limit LSL 7
Upper spec. limit USL 12
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 9.48
Total number of values less than LSL no data
Total number of values greater than USL no data