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Sample Record for 2017-02-28-8

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

Project Information

Project ID: 212183 DEA: 112T1754 EFIS: 1112000004 Permit Numbers: 1116NMC0643 QA Service Level: 2
DIST-CO-RTE-PM: 11-SD-5-1580
Work Description: 0.3 Mile north of La Jolla Village Dr. Overcrossing
Location Description: 0.3 Mile north of La Jolla Village Dr. Overcrossing
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Kareem Scarlet Structure Rep.: Adrian, Cortez

Sample Information

DIME Sample ID: 2017-02-28-8
TL Number from the TL Form: C585241
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 02/28/2017
Date that the sample was received by the laboratory/organization performing the testing: 03/03/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: A722 Threaded Bar
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type: Deformed
Rebar Size: 2.5"
Nut Specification for Threaded Bar: 150 ksi
System Manufacturer: Williams Form
Epoxy Coating Color: Purple
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): NF14204692 NF14102183
Nut Heat Number(s): T-160101
Bar Lot Number: Unknown
Nut Lot Number: Unknown
Coupler Heat Number(s): J7740
Coupler Grade: 150 ksi

Test Results

Test 1 of 1

DIME Test ID: 2017-02-28-8-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 03/13/2017
Date Tested: 03/10/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Additional Comments When Verified:
Lower spec. limit LSL 10
Upper spec. limit USL 15
Bar # for First Bar B1
Bar # for Second Bar B2
First Bar Mean 8.95 mils
Second Bar Mean 9.35 mils
Total mean value 9.15 mils

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.