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Sample Record for 2018-01-05-7

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

Project Information

Project ID: 212149 DEA: 044K4804 EFIS: 0417000314 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-35-9.8
Work Description: Construct soldier pile tie-back wall. Supplemental Director's order to also install soil nail wall.
Location Description: IN SAN MATEO COUNTY, ON ROUTE 35 AT POSTMILE 9.8/9.9, NEAR SKYLONDA , AT 0.1 MILE NORTH OF CHAPMAN ROAD
Contractor Name: Disney Construction Inc
Contractor Address: 859 Cowan Road, Suite #3, Burlingame, CA 94010
Resident Engineer: Fred Booshehri Structure Rep.: Moin, Ahmed

Sample Information

DIME Sample ID: 2018-01-05-7
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 01/05/2018
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: ASTM A615 ATB No 8 Epoxy Coated ASTM A934
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
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: #8
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): 100789840
Nut Heat Number(s): 8292593
Bar Lot Number: Unknown
Nut Lot Number: 8R1D
Coupler Heat Number(s): Unknown
Coupler Grade: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2018-01-05-7-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 01/10/2018
Date Tested: 01/10/2018
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) 227-7253
General Comments for this Test: A615 Bar & Nut
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
1#8 Williams Bar Heat #100789840, Nut Heat #8L73004180.791260421016267.3A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 3

DIME Test ID: 2018-01-05-7-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 01/10/2018
Date Tested: 01/10/2018
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) 227-7253
General Comments for this Test: A615 Bar & Nut
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
1#8 Williams Bar Heat #100789840, Nut Heat #8L73004180.791254541009980A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 3 of 3

DIME Test ID: 2018-01-05-7-3
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 01/10/2018
Date Tested: 01/10/2018
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) 227-7253
General Comments for this Test:
Additional Comments When Verified:
Lower spec. limit LSL 10
Upper spec. limit USL 15
Bar # for First Bar 1
Bar # for Second Bar 2
First Bar Mean 10.96
Second Bar Mean 9.88
Total mean value 10.42

Tests Assigned to this Sample

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