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Sample Record for 2016-08-03-7

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

Project Information

Project ID: 209863 DEA: 041SS024 EFIS: 0400020868 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-13-8.3
Work Description: REPAIR LANDSLIDE ON SR-13 AT THE MORAGA AVE. NORTHBOUND ON RAMP.
Location Description: REPAIR LANDSLIDE ON SR-13 AT THE MORAGA AVE. NORTHBOUND ON RAMP.
Contractor Name: RGW Construction, Inc.
Contractor Address: 550 Greenville Rd., Livermore, CA 94550
Resident Engineer: Jason Trinh Structure Rep.: Eric Urmeneta

Sample Information

DIME Sample ID: 2016-08-03-7
TL Number from the TL Form: C835677
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 08/03/2016
Date that the sample was received by the laboratory/organization performing the testing: 08/05/2016
The quantity of what the sample constitutes: 2
A brief description of the sample: Treaded Bar
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type:
Rebar Size: Unknown
Nut Specification for Threaded Bar: NA
System Manufacturer: Williams Form
Epoxy Coating Color: Purple
Threaded Bar Application:
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s):
Nut Heat Number(s):
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:

Test Results

Test 1 of 3

DIME Test ID: 2016-08-03-7-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 08/11/2016
Date Tested: 08/09/2016
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: Passed Holiday Test
Test Result Compliance:
Additional Comments When Verified:
Lower spec. limit LSL 10 mils
Upper spec. limit USL 15 mils
Bar # for First Bar no data
Bar # for Second Bar no data
First Bar Mean 10.93 mils
Second Bar Mean 10.94 mils
Total mean value 10.95 mils

Test 2 of 3

DIME Test ID: 2016-08-03-7-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/11/2016
Date Tested: 08/09/2016
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 Threaded Bar and Nut
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
1#10 Bar Heat #NF16102112, Nut Heat #10J1DNA1.27118278878038A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP

Test 3 of 3

DIME Test ID: 2016-08-03-7-3
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/11/2016
Date Tested: 08/09/2016
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 Threaded Bar and Nut
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
2#10 Bar Heat #NF16102112, Nut Heat #10J1DNA1.2711815190825-87.5A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP