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Sample Record for 2020-04-09-8

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

Project Information

Project ID: 214449 DEA: 030H3414 EFIS: 0317000152 QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-50-R28.5/R29.1,R31.2
Work Description: REPLACE BRIDGE, RESTORE CULVERTS, AND ADD HIGHWAY PLANTING.
Location Description: EL DORADO COUNTY NEAR POLLOCK PINES FROM 0.3 MILE WEST TO 0.3 MILE EAST OF RIDGEWAY DRIVE UNDERCROSSING AND AT 0.1 MILE WEST OF SLY PARK ROAD UNDERCROSSING
Contractor Name: Flatiron West
Contractor Address: 2100 Goodyear Road, Benicia, CA 94510
Resident Engineer: Jody Phillips Structure Rep.: Joe Harline

Sample Information

DIME Sample ID: 2020-04-09-8
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Acceptance
Type of Material: SMTL TM7 - Epoxy Coated Rebar
Sample Taken Date: 04/09/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 715
A brief description of the sample: #9 A775 Rebar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Western Coatings

Material Information

Rebar Heat Number(s): 026119
Rebar Epoxy Batch Number(s): 9196029155
Rebar Coating Specification: ASTM A775
Rebar Size (#): 9
Rebar Coating Color: Green
Rebar Manufacturer: Cascade
Rebar Coater: Western Coating Eugene OR
Rebar Powder Manufacturer: Valspar
Release Number: 45847
Quality Assurance Code:

Test Results

Test 1 of 2

DIME Test ID: 2020-04-09-8-1
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)
Verified Date: 04/16/2020
Date Tested: 04/16/2020
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

Test 2 of 2

DIME Test ID: 2020-04-09-8-3
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 04/16/2020
Date Tested: 04/16/2020
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 7.74
Second Bar Mean 7.8
Lower spec. limit LSL 7
Upper spec. limit USL 16
Bar # for First Bar 1
Bar # for Second Bar 2
Total mean value 7.77
Total number of values less than LSL no data
Total number of values greater than USL no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2020-04-09-8-2ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Holiday)04/16/202004/16/2020Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryFred Saylor