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Sample Record for 2017-05-05-2

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: 2017-05-05-2
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: Retest
Type of Material: SMTL TM5 - Threaded Bar
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: Unknown
A brief description of the sample: No. 7 Gr. 75 threaded bar
From where was the sample collected: Manufacturer
Laboratory sample identification:
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: 75
Threaded Bar Type: Deformed
Rebar Size: #7
Nut Specification for Threaded Bar: A108
System Manufacturer: Williams Form
Epoxy Coating Color: Purple
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): NF16100114
Nut Heat Number(s): NF16202733
Bar Lot Number: NF1610011452
Nut Lot Number: 7H7D
Coupler Heat Number(s): N/A
Coupler Grade: N/A
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2017-05-05-2-1
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 05/11/2017
Date Tested: 05/11/2017
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:
First Bar Mean 14.56 mils
Second Bar Mean 14.95 mils
Lower spec. limit LSL 10 mils
Upper spec. limit USL 15 mils
Total mean value 14.75 mils
Total number of values less than LSL no data
Total number of values greater than USL no data