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Sample Record for 2017-07-17-1

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

Project Information

Project ID: 211223 DEA: 010B27U4 EFIS: 0115000111 QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-14.9/15.3
Work Description: CONSTRUCT RETAINING WALLS AND RECONSTRUCT ROADWAY
Location Description: DEL NORTE COUNTY ABOUT 10 MILES NORTH OF KLAMATH FROM 2.2 MILES TO 2.6 MILES NORTH OF WILSON CREEK BRIDGE
Contractor Name: STEWART ENGINEERING INC
Contractor Address: P.O. Box 990010, Redding, CA 96099-0010
Resident Engineer: Karen Sanders Structure Rep.: Brian Cinkutis

Sample Information

DIME Sample ID: 2017-07-17-1
TL Number from the TL Form: C970785
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 - Threaded Bar
Sample Taken Date: 07/17/2017
Date that the sample was received by the laboratory/organization performing the testing: 07/19/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: Threadbar
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DSI

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: A897
System Manufacturer: DSI
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 6214244102
Nut Heat Number(s): K216
Bar Lot Number: NA
Nut Lot Number: NA
Coupler Heat Number(s): NA
Coupler Grade: NA

Test Results

Test 1 of 2

DIME Test ID: 2017-07-17-1-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 07/21/2017
Date Tested: 07/20/2017
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: 916-227-7257
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 DSI Bar Nut #K216L810321711132377814015.5A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2017-07-17-1-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 07/21/2017
Date Tested: 07/20/2017
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: 916-227-7257
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 DSI Bar Nut #K216L81032171113544787730A615 Bar & NutFred
Temperature 72 F
UTM 400KIP