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Sample Record for 2019-03-11-2

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

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: 2019-03-11-2
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: Galvanized Heavy Hex Nuts
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: 29
Threaded Bar Type:
Rebar Size: 18
Nut Specification for Threaded Bar: ASTM A29
System Manufacturer: Republic
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: ASTM A153 galvanized
Bar Heat Number(s): Unknown
Nut Heat Number(s): 8297830
Bar Lot Number: Unknown
Nut Lot Number: Unknown
Coupler Heat Number(s): Unknown
Coupler Grade: N/A

Test Results

Test 1 of 2

DIME Test ID: 2019-03-11-2-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/11/2019
Date Tested: 03/28/2019
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: 38mm Bar with 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
138mm, Nut Heat #8297830L115018191.0679948487122038mm Bar with NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2019-03-11-2-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/11/2019
Date Tested: 03/28/2019
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: 38mm Bar & Nut Strip Out
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
238mm, Nut Heat #8297830L115018191.06710253489800038mm Bar & Nut Strip OutFred
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.