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Sample Record for 2021-10-05-2

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Project Information

Project ID: 214549 DEA: 081H2904 EFIS: 0817000006 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-173-18.7
Work Description: STRUCTURAL CONCRETE SOIL NAIL WALL AND SOLDIER PILE WALL.
Location Description: SAN BERNARDINO COUNTY NEAR CEDAR GLEN AT 0.1 MILE SOUTH OF HOSPITAL ROAD
Contractor Name: Stronghold Engineering, Inc.
Contractor Address: 150 W. Walnut Ave, Perris, CA 92571
Resident Engineer: Mohammad Sadique Hossain Structure Rep.: Ravinder Singh

Sample Information

DIME Sample ID: 2021-10-05-2
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: 10/05/2021
Date that the sample was received by the laboratory/organization performing the testing: 10/12/2021
The quantity of what the sample constitutes: 2
A brief description of the sample: #8 ASTM A615 Grade 75 Bar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering Golden, CO

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Plain
Rebar Size: #8
Nut Specification for Threaded Bar: ASTM A108/A29/A576
System Manufacturer: Williams Form Engineering CO
Epoxy Coating Color: NA
Threaded Bar Application: Soil Nail
Coating Standards: Uncoated
Bar Heat Number(s): DL20102007
Nut Heat Number(s): 5392774
Bar Lot Number: DL2010200703
Nut Lot Number: 8V1D
Coupler Heat Number(s): NA
Coupler Grade: NA

Test Results

Test 1 of 2

DIME Test ID: 2021-10-05-2-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 10/14/2021
Date Tested: 10/13/2021
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 Grip Pull
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.8/25mm0.79119286862538.81A615 Grip Pullfsaylor
Temperature 72 f
UTM 400kip

Test 2 of 2

DIME Test ID: 2021-10-05-2-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 10/14/2021
Date Tested: 10/13/2021
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 Grip Pull
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.8/25mm0.79119189891140A615 Grip Pullfsaylor
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.