Sample Record for 2022-07-21-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214579 DEA: 010B0904 EFIS: 0100020444
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-8.2/8.7
Work Description: Panther Creek & Hunter Creek Bridges
Location Description: DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
Contractor Name: Golden State Bridge, Inc
Contractor Address: 3701 Mallard Dr., Benicia, CA 94510
Resident Engineer: Ryan Dunne Structure Rep.: Brian Cinkutis
Sample Information
DIME Sample ID: 2022-07-21-2
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: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 07/21/2022
Date that the sample was received by the laboratory/organization performing the testing: 07/26/2022
The quantity of what the sample constitutes: 2
A brief description of the sample: #9 Threaded Bar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
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: Plain
Rebar Size: #9
Nut Specification for Threaded Bar: ASTM A576
System Manufacturer: Republic
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 100104118
Nut Heat Number(s): 8294599
Bar Lot Number: 10010411820
Nut Lot Number:
Coupler Heat Number(s): N/A
Coupler Grade:
Test Results
Test 1 of 2
DIME Test ID: 2022-07-21-2-1
Test Method: ASTM A615-20: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/04/2022
Date Tested: 08/03/2022
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 and Nut
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Size | Mfg Lot | Area (sqin) | Tensile Strength (psi) | Stress at Offset (psi) | Total Elongation (%) | Comments | Tested By | | No.9/29mm | | 1 | 121466 | 88522 | 8.72 | A615 Bar and Nut | spaine |
| |
|
Temperature
|
72 f
|
|
UTM
|
400kip
|
Test 2 of 2
DIME Test ID: 2022-07-21-2-3
Test Method: ASTM A615-20: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/04/2022
Date Tested: 08/03/2022
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 and Nut
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Size | Mfg Lot | Area (sqin) | Tensile Strength (psi) | Stress at Offset (psi) | Total Elongation (%) | Comments | Tested By | | No.9/29mm | | 1 | 121477 | 88011 | 0 | A615 Bar and Nut | spaine |
| |
|
Temperature
|
72 f
|
|
UTM
|
400kip
|
