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

Sample Record for 2020-03-09-1


Project Information

Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-405,73,405,605-9.3/24.3
Work Description: (Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location Description: Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
Contractor Name: OC 405 Partners Contractor Address: 3100 W Lake Center Dr
Resident Engineer: Hank Alonso (reports) Structure Rep.: Zachman (reports), Cal

Sample Information

DIME Sample ID: 2020-03-09-1
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: Verification
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 03/09/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: Unknown
A brief description of the sample: No. 8 bar and nuts
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:

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: ASTM A108
System Manufacturer: Williams Form Eng
Epoxy Coating Color: Purple
Threaded Bar Application:
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s):
Nut Heat Number(s):
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s): N/A
Coupler Grade: N/A

Test Results

Test 1 of 3

DIME Test ID: 2020-03-09-1-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 03/12/2020
Date Tested: 03/12/2020
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd
Test General Comments: A615 Nut Striped
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
No.8/25mm0.79113985104589-100A615 Nut Stripedfsaylor
Temperature 72 f
UTM 400kip

Test Results

Test 2 of 3

DIME Test ID: 2020-03-09-1-3
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 03/12/2020
Date Tested: 03/12/2020
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd
Test General Comments: A615 Grip pull
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
No.8/25mm0.791283971160245.04A615 Grip pullfsaylor
Temperature 72 f
UTM 400kip

Test Results

Test 3 of 3

DIME Test ID: 2020-03-09-1-4
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 03/12/2020
Date Tested: 03/12/2020
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd
Test General Comments: A615 Grip pull
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
No.8/25mm0.791282661039045.53A615 Grip pullfsaylor
Temperature 72 f
UTM 400kip