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Sample Record for 2017-04-21-8

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

Project Information

Project ID: 211588 DEA: 030F3104 EFIS: 0300000078 QA Service Level: 1
DIST-CO-RTE-PM: 03-ED-49-23.6/24.5
Work Description: REPLACE BRIDGE.
Location Description: EL DORADO COUNTY NEAR COLOMA FROM 0.1 MILE EAST OF MARSHALL ROAD TO 0.3 MILE EAST OF LOTUS ROAD
Contractor Name: M.C.M. CONSTRUCTION, INC.
Contractor Address: P.O. Box 620, North Highlands, CA 95660
Resident Engineer: Jeff Hamm Structure Rep.: Glen Wheeler

Sample Information

DIME Sample ID: 2017-04-21-8
TL Number from the TL Form: C939317
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: 04/21/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/26/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: Williams Thread Bars
From where was the sample collected: Manufacturer
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 A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: #9
Nut Specification for Threaded Bar: Grade 75 ATB
System Manufacturer: Williams Form
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): PL16207196
Nut Heat Number(s): NF15203512
Bar Lot Number: NA
Nut Lot Number: 9H5D
Coupler Heat Number(s): NA
Coupler Grade: NA

Test Results

Test 1 of 2

DIME Test ID: 2017-04-21-8-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/27/2017
Date Tested: 04/27/2017
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: A615 Bar & Nut
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
1#9 Bar Heat #PL16207196, Nut Heat #9H5DL080381711105308090912.7A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2017-04-21-8-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/27/2017
Date Tested: 04/27/2017
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: A615 Bar & Nut
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
2#9 Bar Heat #PL16207196, Nut Heat #9H5DL08038171109467802430A615 Bar & NutFred
Temperature 72 F
UTM 400KIP