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Sample Record for 2020-11-24-4

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

Project Information

Project ID: 214586 DEA: 081H7704 EFIS: 0817000132 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-4.5/5.8
Work Description: INSTALL SIGN STRUCTURE, HMA, MODIFY RAMP METERING AND RETAINING WALL.
Location Description: SAN BENARDINO COUNTY IN SAN BERNARDINO FROM 0.5 MILE SOUTH OR ORANGE SHOW ROAD/AUTO PLAZA DRIVE OVERCROSSING TO 0.2 MILE NORTH OF INLAND CENTER DRIVE OVERCROSSING
Contractor Name: BEADOR CONSTRUCTION COMPANY INC
Contractor Address: 26320 LESTER CIRCLE, CORONA, CA 92883
Resident Engineer: Nicholas Mineo Structure Rep.: Sylvia Stracner

Sample Information

DIME Sample ID: 2020-11-24-4
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: 11/24/2020
Date that the sample was received by the laboratory/organization performing the testing: 11/30/2020
The quantity of what the sample constitutes: N/A
A brief description of the sample: #8 threaded bar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams 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: #8
Nut Specification for Threaded Bar: ASTM A108
System Manufacturer: Williams Form Engineering
Epoxy Coating Color: NA
Threaded Bar Application: Soil Nail
Coating Standards: Uncoated
Bar Heat Number(s): 100206029
Nut Heat Number(s):
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:

Test Results

Test 1 of 2

DIME Test ID: 2020-11-24-4-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 12/02/2020
Date Tested: 12/02/2020
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: 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.8/25mm0.79120421892269.42A615 Barfsaylor
Temperature 72 f
UTM 400kip

Test 2 of 2

DIME Test ID: 2020-11-24-4-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 12/02/2020
Date Tested: 12/02/2020
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: 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.8/25mm0.79120392883970A615 Barfsaylor
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.