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Sample Record for 2018-06-12-1

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

Project Information

Project ID: 210735 DEA: 071193U4 EFIS: 0713000007 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-37.2/42.4
Work Description: CONSTRUCT HOV LANES, WIDEN BRIDGES, AND REALIGN RAMPS.
Location Description: IN LA COUNTY FROM CITRUS STREET IN WEST COVINA TO ROUTE 57 IN POMONA
Contractor Name: Guy F. Atkinson
Contractor Address: 18201 Von Karman Ave, Suite #800, IRVINE CA 92612
Resident Engineer: Rodolfo Cao Structure Rep.: David Win

Sample Information

DIME Sample ID: 2018-06-12-1
TL Number from the TL Form: Unknown
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: 06/12/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/14/2018
The quantity of what the sample constitutes: Unknown
A brief description of the sample: A615 Grade 75 Threaded Bar
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DSI Gerdau

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Plain
Rebar Size: #8
Nut Specification for Threaded Bar: A519
System Manufacturer: DSI
Epoxy Coating Color: NA
Threaded Bar Application: Soil Nail
Coating Standards: Uncoated
Bar Heat Number(s): 6214549206
Nut Heat Number(s): 00A172983
Bar Lot Number: 2161-2104
Nut Lot Number: 082369
Coupler Heat Number(s): n/a
Coupler Grade: Unknown

Test Results

Test 1 of 2

DIME Test ID: 2018-06-12-1-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/19/2018
Date Tested: 06/15/2018
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 Threaded Bar and 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 Bar Heat #6214549206, Nut Heat #00A172983L02-030-180.79113819871330A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2018-06-12-1-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/19/2018
Date Tested: 06/15/2018
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 Threaded Bar and 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 Bar Heat #6214549206, Nut Heat #00A172983L02-030-180.79114262874728.2A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP