Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214836 DEA: 030G9804 EFIS: 0317000313
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-46.3/53.4
Work Description: CONCRETE SLAB REPLACEMENT.
Location Description: PLACER COUNTY FR0M CRYSTAL SPRINGS ROAD OVERCROSSING TO BLUE CANYON ROAD UNDERCROSSING
Contractor Name: FBD VANGUARD CONSTRUCTION, INC.
Contractor Address: 550 Greenville Road, Livermore, CA 94550
Resident Engineer: Tad Sampson Structure Rep.: Unknown
DIME Sample ID: 2020-08-28-7
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: 08/28/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/01/2020
The quantity of what the sample constitutes: 3500 lbs
A brief description of the sample: #6 Tiebars purple
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Simplex - Fernley, NV
Rebar Heat Number(s): 1201020033
Rebar Epoxy Batch Number(s): 3CH2010022
Rebar Coating Specification: ASTM A934
Rebar Size (#): 6
Rebar Coating Color: Purple
Rebar Manufacturer: Nucor
Rebar Coater: Simplex
Rebar Powder Manufacturer: Valspar
Release Number: 107393-1
Quality Assurance Code:
DIME Test ID: 2020-08-28-7-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 09/02/2020
Date Tested: 09/02/2020
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:
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
|
8.75
|
Second Bar Mean
|
7.5
|
Total mean value
|
8.13
|
DIME Test ID: 2020-08-28-7-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)
Verified Date: 09/02/2020
Date Tested: 09/02/2020
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
|
1
|
Total Length
|
5
|
Holidays Per Linear Foot of Bar
|
0.2
|
Holiday Test Pass/Fail
|
Pass
|
Bend Test Pass/Fail
|
Pass
|