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Sample Record for 2018-12-17-1

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Project Information

Project ID: 212036 DEA: 044K2404 EFIS: 0417000284 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN,MRN-1-10.9, 10.8/10.9, 10.90, 6.6/10.9
Work Description: Construct Solier Pile Wall
Location Description:
Contractor Name: Drill Tech
Contractor Address: 2200 WYMORE WAY, ANTIOCH, CA 94509
Resident Engineer: Dawit Habteselassie Structure Rep.: Jeff Kress

Sample Information

DIME Sample ID: 2018-12-17-1
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 12/17/2018
Date that the sample was received by the laboratory/organization performing the testing: 12/26/2018
The quantity of what the sample constitutes: 2 bars and 2 Hex nuts
A brief description of the sample: A513 Threaded Bar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering-SD

Material Information

Production or Authorization Testing: Retest
Threaded Bar Specification: ASTM A513
Threaded Bar Grade: 85
Threaded Bar Type: Plain
Rebar Size: 11
Nut Specification for Threaded Bar: A29
System Manufacturer: Williams Form Engineering
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A153 galvanized
Bar Heat Number(s): 4121251
Nut Heat Number(s): 8296322
Bar Lot Number:
Nut Lot Number: 10L5D
Coupler Heat Number(s):
Coupler Grade:

Test Results

Test 1 of 2

DIME Test ID: 2018-12-17-1-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 01/04/2019
Date Tested: 12/27/2018
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: #11 Hollow 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#11 Hollow williams Bar Heat #4121251, Nut, 3NA1.06794643840060#11 Hollow Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2018-12-17-1-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 01/04/2019
Date Tested: 12/27/2018
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: #11 Hollow 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#11 Hollow williams Bar Heat #4121251, Nut, 3NA1.06791662844230#11 Hollow Bar & NutFred
Temperature 72 F
UTM 400KIP

Tests Assigned to this Sample

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