Sample Record for 2025-04-02-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994875 DEA: 101F1804 EFIS: 1016000077
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-4-R16.0/R19.4
Work Description: BRIDGE WORK, CONCRETE BARRIER, AND INSTALL RAMP METER SYSTEM.
Location Description: SAN JOAQUIN COUNTY IN STOCKTON AT VARIOUS LOCATIONS FROM 0.3 MILE EAST OF ROUTE 4/5 SEPARATION TO 0.4 MILE WEST OF ROUTE 4/99 SEPARATION
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. Box 1508, Rancho Cordova, CA 95741
Resident Engineer: Toafael Anwar Structure Rep.: Ron Matin
Sample Information
DIME Sample ID: 2025-04-02-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 04/02/2025
Date that the sample was received by the laboratory/organization performing the testing: 04/09/2025
The quantity of what the sample constitutes: 107
A brief description of the sample: #8 Grade 75 All- Thread Bar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering-SD
Material Information
Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type:
Rebar Size: #8
Nut Specification for Threaded Bar: ASTM A29
System Manufacturer: Williams Form Engineering San Diego
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: Uncoated
Bar Heat Number(s): 1000227588
Nut Heat Number(s): 1000224533
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:
Test Results
Test 1 of 1
DIME Test ID: 2025-04-02-2-1
Test Method: ASTM A615-20: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/06/2025
Date Tested: 05/06/2025
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:
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Number of Samples
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2
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| Sample | Size | Mfg Lot | Area (sqin) | Tensile Strength (psi) | Stress at Offset (psi) | Total Elongation (%) | Comments | Tested By | | 1 | 8 | 1000227588 | 0.79 | 114100 | 93200 | 11 | A615 Bar and Nut | Atlas | | 2 | 8 | 1000227588 | 0.79 | 119600 | 89500 | 10 | A615 Bar and Nut | Atlas |
| |
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Temperature
|
0 f
|
|
UTM
|
NA
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