Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 210696 DEA: 080M2804 EFIS: 0800000472
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-171.8/173.8
Work Description: BRIDGE REPLACEMENT AND WIDEN, CONC AND HMA PVMT, COLD PLANE AC PVMT.
Location Description: In SBD County
Contractor Name: M.C.M. CONSTRUCTION, INC. - Dan Shaw
Contractor Address: P.O. Box 620, North Highlands, CA 95660
Resident Engineer: John Santos Structure Rep.: Faisal Zahlout
DIME Sample ID: 2016-12-02-3
TL Number from the TL Form: Unknown
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 TM6 - Ductile Iron Cast Samples
Sample Taken Date: 12/02/2016
Date that the sample was received by the laboratory/organization performing the testing: 12/07/2016
The quantity of what the sample constitutes: 2
A brief description of the sample: A536 Ductile Iron
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DSI Dotson Iron
Heat Number (s): 3276
Part Number (s): 68 19 216 248
Material Specification: A536
Grades: 65-45-12
Metal Foundry Manufacturer (Mill): Dotson Iron Castings
Prestressing Manufacturer: DSI
DIME Test ID: 2016-12-02-3-1
Test Method: ASTM A370-15: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 12/09/2016
Date Tested: 12/08/2016
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: paul.lukkarila@dot.ca.gov
Organization Phone: 916-227-7257
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of Samples
|
2
|
Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | | 3276 | 0.495 | 0.1924 | 47289 | 81290 | 12.1 | Fred | | 3276 | 0.494 | 0.1917 | 50387 | 89790 | 10.6 | Fred |
| |
UTM
|
67KIP
|
Temperature
|
72 F
|