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Sample Record for 2019-03-14-2

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: 2019-03-14-2
TL Number from the TL Form:
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: 03/14/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/14/2019
The quantity of what the sample constitutes: Heat 4170424, 64 available at WFE SD
A brief description of the sample: A513 Hollow Threaded Bar
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form San Diego

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A513
Threaded Bar Grade: 75
Threaded Bar Type: Plain
Rebar Size: 11
Nut Specification for Threaded Bar: NA
System Manufacturer: Williams Form Engineering
Epoxy Coating Color: NA
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A153 galvanized
Bar Heat Number(s): 4170424
Nut Heat Number(s): NA
Bar Lot Number: C21030558
Nut Lot Number: NA
Coupler Heat Number(s): NA
Coupler Grade: NA
Test results on following page(s): 5

Test Results

Test 1 of 5

DIME Test ID: 2019-03-14-2-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 03/29/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test: 38mm 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
138mm Bar Heat #4170424, Nut Heat #8297830L79122191.067102979938658.238mm Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 5

DIME Test ID: 2019-03-14-2-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 03/29/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
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 Bar Heat #4170424, Nut Heat #8297830L79122191.0679669700Fred
Temperature 72 F
UTM 400KIP

Test 3 of 5

DIME Test ID: 2019-03-14-2-3
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 03/29/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
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 Bar Heat #4170424, Nut Heat #8297830L79122191.0673208800Fred
Temperature 72 F
UTM 400KIP

Test 4 of 5

DIME Test ID: 2019-03-14-2-4
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 03/29/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
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 Bar Heat #4170424, Nut Heat #8297830L79122191.0673079700Fred
Temperature 72 F
UTM 400KIP

Test 5 of 5

DIME Test ID: 2019-03-14-2-5
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 03/29/2019
Date Tested: 03/29/2019
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test:
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 Bar Heat #4170424, Nut Heat #8297830 (3L79122191.067748100Fred
Temperature 72 F
UTM 400KIP