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Sample Record for 2018-02-20-2

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

Project Information

Project ID: 211848 DEA: 112T2174 EFIS: 1116000131 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R37.4 - R46.5
Work Description: (Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave.
Location Description: IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING
Contractor Name: Flatiron-Skanska-Stacy and Witbeck, a Joint Venture
Contractor Address: 1770 La Costa Meadows Drive, San Marcos, CA 92078
Resident Engineer: Steve McMillan Structure Rep.: Phong Le

Sample Information

DIME Sample ID: 2018-02-20-2
TL Number from the TL Form: C657886
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: 02/20/2018
Date that the sample was received by the laboratory/organization performing the testing: 02/22/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: Williams Thread Bars
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form

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: A108
System Manufacturer: Williams Form
Epoxy Coating Color: Purple
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100790536
Nut Heat Number(s): 8199326
Bar Lot Number: Unknown
Nut Lot Number: 8P3D
Coupler Heat Number(s): NA
Coupler Grade: NA

Test Results

Test 1 of 3

DIME Test ID: 2018-02-20-2-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 02/22/2018
Date Tested: 02/22/2018
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: does not comply
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 18.43
Second Bar Mean 10.59
Total mean value 14.51

Test 2 of 3

DIME Test ID: 2018-02-20-2-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 02/27/2018
Date Tested: 02/23/2018
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
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#8 Williams Bar Heat #100790536, Nut Heat #81L110019180.79124991974256.4A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 3 of 3

DIME Test ID: 2018-02-20-2-3
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 02/27/2018
Date Tested: 02/23/2018
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
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#8 Williams Bar Heat #100790536, Nut Heat #81L110019180.791269131001837.8A615 Bar & NutFred
Temperature 72 F
UTM 400KIP