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Sample Record for 2020-01-03-4

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

Project Information

Project ID: 214109 DEA: 081H6404 EFIS: 0817000094 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-210-R26.5
Work Description: WIDEN RAMP & CONSTRUCT RETAINING WALL.
Location Description: SAN BERNARDINO COUNTY IN SAN BERNARDINO AT EASTBOUND HIGHLAND AVENUE EXIT RAMP
Contractor Name: RSB Group, Inc.
Contractor Address: 20331 Lake Forest Dr. Suite C, Lake Forest CA, 92630
Resident Engineer: Vu Thanh Nguyen Structure Rep.: Chuang, Ching

Sample Information

DIME Sample ID: 2020-01-03-4
TL Number from the TL Form: NA
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 01/03/2020
Date that the sample was received by the laboratory/organization performing the testing: 01/07/2020
The quantity of what the sample constitutes: 2
A brief description of the sample: Threaded Rebar Coupler
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Stresstell

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: 8
Nut Specification for Threaded Bar: NA
System Manufacturer: Stresstell
Epoxy Coating Color: NA
Threaded Bar Application: Soil Nail
Coating Standards: Uncoated
Bar Heat Number(s): NA
Nut Heat Number(s): NA
Bar Lot Number: NA
Nut Lot Number: NA
Coupler Heat Number(s): DL18106338
Coupler Grade: 75

Test Results

Test 1 of 2

DIME Test ID: 2020-01-03-4-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 01/08/2020
Date Tested: 01/08/2020
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: Coupler Test Only, A615 GR75
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
No.8/25mm0.79120153925300Coupler Test Only, A615 GR75fsaylor
Temperature 72 f
UTM 400kip

Test 2 of 2

DIME Test ID: 2020-01-03-4-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 01/08/2020
Date Tested: 01/08/2020
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: Coupler Test Only, A615 GR75
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
No.8/25mm0.79115413926900Coupler Test Only, A615 GR75fsaylor
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.