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Sample Record for 2020-08-16-1

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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, Santa Ana, CA 92704
Resident Engineer: Hank Alonso (reports) Structure Rep.: Alex Angha (reports)

Sample Information

DIME Sample ID: 2020-08-16-1
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: Verification
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 08/16/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/20/2020
The quantity of what the sample constitutes: 71 bar and 220 couplers
A brief description of the sample: #7 A615 all-thread rebar w/ thru coupler
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier: 30-Orange
Structure name: unknown
The fabricator/manufacturer/facility name: William Form Engineering

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: #7
Nut Specification for Threaded Bar: N/A
System Manufacturer: Williams Form Eng
Epoxy Coating Color: Purple
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100896835
Nut Heat Number(s): N/A
Bar Lot Number: 10089683520
Nut Lot Number: N/A
Coupler Heat Number(s): 201154
Coupler Grade: 75

Test Results

Test 1 of 3

DIME Test ID: 2020-08-16-1-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/25/2020
Date Tested: 08/25/2020
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: A615 Bar
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.7/22mm0.6125596995007.95A615 Barfsaylor
Temperature 72 f
UTM 400kip

Test 2 of 3

DIME Test ID: 2020-08-16-1-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/25/2020
Date Tested: 08/25/2020
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: A615 Bar With Coupler
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.7/22mm0.6109236998270A615 Bar With Couplerfsaylor
Temperature 72 f
UTM 400kip

Test 3 of 3

DIME Test ID: 2020-08-16-1-3
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 08/25/2020
Date Tested: 08/25/2020
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:
Lower spec. limit LSL 10 mils
Upper spec. limit USL 15 mils
Bar # for First Bar 1
Bar # for Second Bar 2
First Bar Mean 12.09
Second Bar Mean 12.95
Total mean value 12.52