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Sample Record for 2017-05-30-1

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

Project Information

Project ID: 211712 DEA: 07305204 EFIS: 0714000092 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-33-15.7
Work Description: CONSTRUCT SOIL NAIL WALL AND ROCK SLOPE PROTECTION.
Location Description: VENTURA COUNTY NEAR OJAI AT 0.1 MILE SOUTH OF NORTH FORK MATILIJA CREEK BRIDGE
Contractor Name: C. A. RASMUSSEN, INC.
Contractor Address: 28548 Livingston Ave, Valencia, CA 91355
Resident Engineer: Alfred Ira Structure Rep.: Pantaleon Rivera

Sample Information

DIME Sample ID: 2017-05-30-1
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 05/30/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: No. 9 Grade 75 epoxy coated bars, and hex nuts
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Eng

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size:
Nut Specification for Threaded Bar: ASTM A615
System Manufacturer: Williams Form Eng
Epoxy Coating Color: Purple
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100786966
Nut Heat Number(s): NF15203512
Bar Lot Number: 10078696621
Nut Lot Number: 9H5D
Coupler Heat Number(s): N/A
Coupler Grade: N/A

Test Results

Test 1 of 3

DIME Test ID: 2017-05-30-1-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/08/2017
Date Tested: 06/07/2017
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 #100786966, Nut Heat #9H5DL0811277391007138.9A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 3

DIME Test ID: 2017-05-30-1-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/08/2017
Date Tested: 06/07/2017
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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 #100786966, Nut Heat #9H5DL0811279501003890A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 3 of 3

DIME Test ID: 2017-05-30-1-3
Test Method: ASTM A884-14: Standard Specification for Epoxy-Coated Steel Wire and Welded Wire Reinforcement (Epoxy Coating Thickness)
Verified Date: 06/08/2017
Date Tested: 06/07/2017
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified:
First Bar Mean 12.09 mils
Second Bar Mean 13.55 mils
Lower spec. limit LSL 10 mils
Upper spec. limit USL 15 mils
Total mean value 12.82 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Tests Assigned to this Sample

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