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Sample Record for 2024-08-20-1

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Project Information

Project ID: 995202 DEA: 033H6104 EFIS: 0318000019 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-42.7/49.3
Work Description: RDWY EXC, HMA, JPCP, ALT PIPELINER, STEEL SOLDIER PILE, MOD LTG SYSTEM
Location Description: PLACER COUNTY ABOUT 9.4 MILES NORTH OF COLFAX FROM 0.5 MILE WEST OF MONTE VISTA OVERCROSSING TO 0.3 MILE EAST OF DRUM FOREBAY OVERCROSSING
Contractor Name: DESILVA GATES CONSTRUCTION, LLC
Contractor Address: 11555 Dublin Blvd, Dublin, CA 94568
Resident Engineer: Tad Sampson Structure Rep.: Jimmer Ross

Sample Information

DIME Sample ID: 2024-08-20-1
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: 08/20/2024
Date that the sample was received by the laboratory/organization performing the testing: 08/26/2024
The quantity of what the sample constitutes: 2 per heat
A brief description of the sample: #9 threaded bar and Hex Nuts
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dywidag Systems International

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: #9
Nut Specification for Threaded Bar: ASTM A897
System Manufacturer: Dywidag Systems International
Epoxy Coating Color: NA
Threaded Bar Application: Soil Nail
Coating Standards: Uncoated
Bar Heat Number(s): 58061038/03
Nut Heat Number(s):
Bar Lot Number:
Nut Lot Number: E144
Coupler Heat Number(s):
Coupler Grade:

Test Results

Test 1 of 2

DIME Test ID: 2024-08-20-1-1
Test Method: ASTM A615-20: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 09/03/2024
Date Tested: 08/27/2024
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 - Elongation
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.9/29mm11190258513813.28A615 Bar and Nut - Elongationaauvinen
Temperature 72 f
UTM 400kip

Test 2 of 2

DIME Test ID: 2024-08-20-1-2
Test Method: ASTM A615-20: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 09/03/2024
Date Tested: 08/28/2024
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
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
No.9/29mm111877284881-100A615 Bar and Nutaauvinen
Temperature 72 f
UTM 400kip