Sample Record for 2025-12-09-10
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 995493 DEA: 081G6704 EFIS: 0816000049
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-79-5.4/11.4
Work Description: HOT MIX ASPHALT, SOIL NAIL, STRUCTURAL CONCRETE AND ROADWAY EXC.
Location Description: RIVERSIDE COUNTY NEAR TEMECULA FROM 0.4 MILE SOUTH OF SAGE ROAD TO 1.1 MILES SOUTH OF PAUBA ROAD
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 CUSHING STE 200, IRVINE, CA 92618
Resident Engineer: Osama Abdalla Structure Rep.: Arnel Vega
Sample Information
DIME Sample ID: 2025-12-09-10
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: 12/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/12/2025
The quantity of what the sample constitutes: 2
A brief description of the sample: # Threaded Bar Grade 75
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dywidag
Material Information
Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type:
Rebar Size: #8
Nut Specification for Threaded Bar: A519
System Manufacturer: Gerdau
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: Uncoated
Bar Heat Number(s): 5806698304
Nut Heat Number(s): 74136318
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:
Test Results
Test 1 of 1
DIME Test ID: 2025-12-09-10-1
Test Method: ASTM A615-20: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 12/18/2025
Date Tested: 12/18/2025
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 | 5806698304 | 0.79 | 117000 | 81418 | 14 | A615 Bar and Nut | Kleinfelder | | 2 | 8 | 5806698304 | 0.79 | 116000 | 82051 | 0000 | A615 Bar and Nut | Kleinfelder |
| |
|
Temperature
|
0 f
|
|
UTM
|
NA
|
