Sample Record for 2025-07-16-55
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000665 DEA: 081K4004 EFIS: 0819000031
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-3.5/6.8
Work Description: HMA (TYPE A), RDWY EXC, STR CONC RET WALL, RUBBERIZED HMA (OGFC).
Location Description: TEMECULA FROM 0.1 MI NORTH OF TEMECULA PARKWAY TO 0.2 MI NORTH OF WINCHESTER ROAD
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 Bristol Street, Suite D204, Costa Mesa, CA 92626
Resident Engineer: Denise Sostrom Structure Rep.: Gizachew Abayneh
Sample Information
DIME Sample ID: 2025-07-16-55
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 TM5 - Threaded Bar
Sample Taken Date: 07/16/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/21/2025
The quantity of what the sample constitutes: 2
A brief description of the sample: #9 Epoxy Coated All Thread A615 Gr. 75
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Eng
Material Information
Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: #9
Nut Specification for Threaded Bar: A29
System Manufacturer: Williams Form Eng
Epoxy Coating Color: Purple
Threaded Bar Application:
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 1000124858
Nut Heat Number(s): 1000223273
Bar Lot Number:
Nut Lot Number: 9M7D
Coupler Heat Number(s):
Coupler Grade:
Test Results
Test 1 of 1
DIME Test ID: 2025-07-16-55-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 07/31/2025
Date Tested: 07/31/2025
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:
|
Number of Samples
|
2
|
| Sample | Size | Mfg Lot | Area (sqin) | Tensile Strength (psi) | Stress at Offset (psi) | Total Elongation (%) | Comments | Tested By | | 1 | 9 | 1000124858 | 1 | 119000 | 105870 | 0000 | A615 Bar and Nut | Kleinfelder | | 2 | 9 | 1000124858 | 1 | 128000 | 106640 | 9 | A615 Bar | Kleinfelder |
| |
|
Temperature
|
0 f
|
|
UTM
|
NA
|
