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Sample Record for 2021-03-25-1

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Project Information

Project ID: 212896 DEA: 04160304 EFIS: 0400000429 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-84-13.33
Work Description: NILES CANYON ALAMEDA CREEK BRIDGE REPLACEMENT
Location Description: IN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036).
Contractor Name: VIKING CONSTRUCTION COMPANY
Contractor Address: 11315 Sunrise Gold Circle, Suite A, Rancho Cordova, CA 95742
Resident Engineer: Yannaing Tun Structure Rep.: Bui, Oanh

Sample Information

DIME Sample ID: 2021-03-25-1
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: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 03/25/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/30/2021
The quantity of what the sample constitutes: Heat 100206742
A brief description of the sample: No 10 A615 Gr 75 Epoxy Coated Threaded Bar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 33-E0417
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering San Diego

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: #10
Nut Specification for Threaded Bar: ASTM A108
System Manufacturer: WIlliams Form ENgineering
Epoxy Coating Color: Purple
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100206742, 100207534
Nut Heat Number(s): 75079288, 72076075
Bar Lot Number: NA
Nut Lot Number: 10P7D, 10N3D
Coupler Heat Number(s): NA
Coupler Grade: NA

Test Results

Test 1 of 6

DIME Test ID: 2021-03-25-1-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 04/05/2021
Date Tested: 04/01/2021
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: Heat #100207534
Additional Comments When Verified:
Lower spec. limit LSL 10
Upper spec. limit USL 15
Bar # for First Bar 1
Bar # for Second Bar 1
First Bar Mean 12.17
Second Bar Mean 11.62
Total mean value 11.89

Test 2 of 6

DIME Test ID: 2021-03-25-1-2
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 04/05/2021
Date Tested: 04/02/2021
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: Heat #100206742
Additional Comments When Verified:
Lower spec. limit LSL 10
Upper spec. limit USL 15
Bar # for First Bar 1
Bar # for Second Bar 2
First Bar Mean 13.36
Second Bar Mean 13.15
Total mean value 13.25

Test 3 of 6

DIME Test ID: 2021-03-25-1-3
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/05/2021
Date Tested: 04/02/2021
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
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
No.10/32mm1.27116455864546.47A615 Barfsaylor
Temperature 72 f
UTM 400kip

Test 4 of 6

DIME Test ID: 2021-03-25-1-4
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/05/2021
Date Tested: 04/02/2021
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
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
No.10/32mm1.27116646875780A615 Barfsaylor
Temperature 72 f
UTM 400kip

Test 5 of 6

DIME Test ID: 2021-03-25-1-5
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/05/2021
Date Tested: 04/02/2021
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
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
No.10/32mm1.27123701940898.51A615 Barbewing
Temperature 72 f
UTM 400kip

Test 6 of 6

DIME Test ID: 2021-03-25-1-6
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/05/2021
Date Tested: 04/02/2021
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
Additional Comments When Verified:
Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
No.10/32mm1.27122140937300A615 Barbewing
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.