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Sample Record for 2019-03-11-1

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

Project Information

Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-680-M2.4/M12.4
Work Description: ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS
Location Description: FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Yannaing Tun Structure Rep.: Jarosz, Jordan

Sample Information

DIME Sample ID: 2019-03-11-1
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: 03/11/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/11/2019
The quantity of what the sample constitutes: 2
A brief description of the sample: Threaded Rebar
From where was the sample collected: Distributor
Laboratory sample identification:
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: Plain
Rebar Size:
Nut Specification for Threaded Bar: ASTM A29
System Manufacturer: nucor
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: Uncoated
Bar Heat Number(s): DL18104875
Nut Heat Number(s): DL18104875
Bar Lot Number: DL1810487503
Nut Lot Number: 8296508
Coupler Heat Number(s): N/A
Coupler Grade: N/A

Test Results

Test 1 of 2

DIME Test ID: 2019-03-11-1-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 03/15/2019
Date Tested: 03/15/2019
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 Threaded Bar and Nut
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
1#9 Bar Heat #DL18104875, Nut Heat #9J1DL115-017-191.1281074357736512.8A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2019-03-11-1-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 03/15/2019
Date Tested: 03/15/2019
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 Threaded Bar and Nut
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
2#9 Bar Heat #DL18104875, Nut Heat #9J1DL115-017-191.128107722775270A615 Threaded Bar and NutBrian
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.