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Sample Record for 2017-05-05-1

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

Project Information

Project ID: 211854 DEA: 043G0804 EFIS: 0400021272 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-1-30.5
Work Description: CONSTRUCT ROADWAY AND SOIL NAIL WALLS
Location Description: SONOMA COUNTY NEAR FORT ROSS AT 2.6 MILES SOUTH OF FORT ROSS ROAD
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 585 West Beach Street, Watsonville, CA 95076
Resident Engineer: Scott Hislop Structure Rep.: Clifford Law

Sample Information

DIME Sample ID: 2017-05-05-1
TL Number from the TL Form: Unknown
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 - Couplers
Sample Taken Date: 05/05/2017
Date that the sample was received by the laboratory/organization performing the testing: 05/09/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: Epoxy coated coupler, Grade 75
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
Service or Ultimate: Service
Material Standard Code: ASTM A615
Material Grade: 60
Rebar Manufacturer: unknown
Coupler Manufacturer: Williams Form
Intermediate Assembler or Fabricator: Eaton Steel Bar Co
Rebar Size: No. 8
Coupler Model: unknown
Coating Standards: ASTM A934
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): unknown
Rebar Heat Number(s): unknown
Rebar Size 2 :
Coupler Unique ID:

Test Results

Test 1 of 2

DIME Test ID: 2017-05-05-1-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Necking)
Verified Date: 05/11/2017
Date Tested: 05/10/2017
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:
Test Result Compliance: complies
Additional Comments When Verified:
Necking Test Option Necking Test Option I
Shape of the Sample Straight Sample
Sample 1 Visible Necking? No
Sample 1 Location of Fracture? coupler
Sample 2 Visible Necking? No
Sample 2 Location of Fracture? coupler
Sample 3 Visible Necking? No
Sample 3 Location of Fracture? N A
Sample 4 Visible Necking? No
Sample 4 Location of Fracture? N A

Test 2 of 2

DIME Test ID: 2017-05-05-1-2
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars (Epoxy Coating)
Verified Date: 05/11/2017
Date Tested: 05/10/2017
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:
Test Result Compliance: does not comply
Additional Comments When Verified:
First Bar Mean 11.04 mils
Second Bar Mean 7.99 mils
Lower spec. limit LSL 10 mils
Upper spec. limit USL 15 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 9.52 mils
Total number of values less than LSL no data
Total number of values greater than USL no data