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Testing Report for 2021-03-25-1-3

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

Project Information

Project ID: 212896 DEA: 04160304 EFIS: 0400000429 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-84-13.33
Location Description: IN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036).
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Yannaing Tun Structure Rep.: Oanh Bui

Sample Information

DIME Sample ID: 2021-03-25-1
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: 03/25/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/30/2021
The quantity of what the sample constitutes: Heat 100206742
A brief description of the sample: No 10 A615 Gr 75 Epoxy Coated Threaded Bar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 33-E0417
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering San Diego

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: #10
Nut Specification for Threaded Bar: ASTM A108
System Manufacturer: WIlliams Form ENgineering
Epoxy Coating Color: Purple
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100206742, 100207534
Nut Heat Number(s): 75079288, 72076075
Bar Lot Number: NA
Nut Lot Number: 10P7D, 10N3D
Coupler Heat Number(s): NA
Coupler Grade: NA

Test Information

DIME Test ID: 2021-03-25-1-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 04/05/2021
Date Tested: 04/01/2021
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:
Organization Phone: (916) 227-7253
General Comments for this Test: Heat #100207534
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
No.10/32mm1.27116455864546.47A615 Barfsaylor
Temperature 72 f
UTM 400kip