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Sample Record for 2016-08-23-4

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

Project Information

Project ID: 210636 DEA: 112T1904 EFIS: 1100020291 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-15-M5.6/R6.0
Work Description: CONSTRUCT BIKE FACILITY W/HMA-A, WALLS, BARRIERS, LIGHTS AND OH SIGN.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM ADAMS AVENUE OVERCROSSING TO CAMINO DEL RIO SOUTH UNDERCROSSING
Contractor Name: Coffman Specialties
Contractor Address: 9685 Via Excelencia Ste 200, San Diego, CA 92126
Resident Engineer: Seid Hodzic Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2016-08-23-4
TL Number from the TL Form: C605067
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 08/23/2016
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2016
The quantity of what the sample constitutes: 2
A brief description of the sample: Threaded Bar
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type:
Rebar Size: 9
Nut Specification for Threaded Bar: NA
System Manufacturer: Williams Form
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
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 4

DIME Test ID: 2016-08-23-4-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/29/2016
Date Tested: 08/29/2016
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 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#9 Bar Heat #NF15103751, Nut Heat #499087D03-305-161125086870188.7A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP

Test 2 of 4

DIME Test ID: 2016-08-23-4-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/29/2016
Date Tested: 08/29/2016
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:
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#8 Bar Heat #NF15103751, Nut Heat #499087D03-305-161183400Brian
Temperature 72 F
UTM 400KIP

Test 3 of 4

DIME Test ID: 2016-08-23-4-3
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/29/2016
Date Tested: 08/29/2016
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:
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#8 Bar Heat #NF15103751, Nut Heat #499087D03-305-161197600Brian
Temperature 72 F
UTM 400KIP

Test 4 of 4

DIME Test ID: 2016-08-23-4-4
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/29/2016
Date Tested: 08/29/2016
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 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#9 Bar Heat #NF15103751, Nut Heat #499087D03-305-161125121857230A615 Threaded Bar and NutBrian
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.