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Sample Record for 2017-07-13-5

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

Project Information

Project ID: 211931 DEA: 043G6414 EFIS: 0416000348 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29-37.0
Work Description: SCOUR REPLACE BRIDGE
Location Description: NAPA COUNTY IN CALISTOGA AT NAPA RIVER BRIDGE
Contractor Name: Valentine Corp.
Contractor Address: 111 Pelican Way, San Rafael, CA 94901
Resident Engineer: Danilo Patenia Structure Rep.: Nana Budu

Sample Information

DIME Sample ID: 2017-07-13-5
TL Number from the TL Form: C647232
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: 07/13/2017
Date that the sample was received by the laboratory/organization performing the testing: 07/17/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: Williams Thread Bars
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Forms

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: 75
System Manufacturer: Williams Form
Epoxy Coating Color: Purple
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100786966
Nut Heat Number(s): 9H5D
Bar Lot Number: Unknown
Nut Lot Number: Unknown
Coupler Heat Number(s): 9H2D
Coupler Grade: 75

Test Results

Test 1 of 2

DIME Test ID: 2017-07-13-5-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 07/20/2017
Date Tested: 07/19/2017
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 & Coupler
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 Williams Bar , Nut ##9H5D, Coupler #9H2DL73005171128072993480A615 Bar, Nut & CouplerFred
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2017-07-13-5-3
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 07/20/2017
Date Tested: 07/19/2017
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:
Additional Comments When Verified:
Lower spec. limit LSL 10 mils
Upper spec. limit USL 15 mils
Bar # for First Bar 1
Bar # for Second Bar 2
First Bar Mean 9.6 mils
Second Bar Mean 9.3 mils
Total mean value 9.45 mils

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2017-07-13-5-2ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)07/19/201707/19/2017Fred SaylorCT HQ - Sacramento Structural Materials Testing LaboratoryFred Saylor