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Sample Record for 2018-08-27-9

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

Project Information

Project ID: 212995 DEA: 01262044 EFIS: 0112000203 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-101-47.2/47.3
Work Description:
Location Description:
Contractor Address: 1324 S. State Street, Ukiah, CA 95482
Resident Engineer: Nash Munes Structure Rep.: Tatjana Halda

Sample Information

DIME Sample ID: 2018-08-27-9
TL Number from the TL Form: C647239
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: 08/27/2018
Date that the sample was received by the laboratory/organization performing the testing: 08/27/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: R63 Galvanized Hex Nuts
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering

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: Grade 75
System Manufacturer: Williams Form
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A153 galvanized
Bar Heat Number(s): NA
Nut Heat Number(s): 8294599
Bar Lot Number: NA
Nut Lot Number: 9H9D
Coupler Heat Number(s): NA
Coupler Grade: NA

Test Results

Test 1 of 1

DIME Test ID: 2018-08-27-9-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 09/04/2018
Date Tested: 09/04/2018
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:
Organization Phone: (530) 329-6527
General Comments for this Test: Nut Test Only 9H9D
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 Nut Heat #8294599, 9H9DL73019181112930935330Nut Test Only 9H9DFred
Temperature 72 F