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Sample Record for 2017-05-18-1

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

Project Information

Project ID: 211854 DEA: 043G0804 EFIS: 0400021272 QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-1-30.5
Work Description: CONSTRUCT ROADWAY AND SOIL NAIL WALLS
Location Description: SONOMA COUNTY NEAR FORT ROSS AT 2.6 MILES SOUTH OF FORT ROSS ROAD
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 585 West Beach Street, Watsonville, CA 95076
Resident Engineer: Scott Hislop Structure Rep.: Law, Clifford

Sample Information

DIME Sample ID: 2017-05-18-1
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 05/18/2017
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: unknown
A brief description of the sample: No 8 Gr 75 epoxy coupler
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Eng

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Plain
Rebar Size: 8
Nut Specification for Threaded Bar: unknown
System Manufacturer: Williams Form Eng
Epoxy Coating Color: Purple
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): N/A
Nut Heat Number(s): N/A
Bar Lot Number: N/A
Nut Lot Number: N/A
Coupler Heat Number(s): 395989
Coupler Grade: 75

Test Results

Test Information 3 of 3

DIME Test ID: 2017-05-18-1-3
Test Method: ASTM A775-07b-re14: Standard Specification for Epoxy-Coated Steel Reinforcing Bars
Verified Date: 05/24/2017
Date Tested: 05/23/2017
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: Couplers Only
Additional Comments When Verified:
First Bar Mean 10.73 mils
Second Bar Mean 11.52 mils
Lower spec. limit LSL 10 mils
Upper spec. limit USL 15 mils
Bar # for First Bar no data
Bar # for Second Bar no data
Total mean value 11.13 mils
Total number of values less than LSL no data
Total number of values greater than USL no data

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.