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Sample Record for 2017-02-28-8

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

Project Information

Project ID: 212183 DEA: 112T1754 EFIS: 1112000004 Permit Numbers: 1116NMC0643 QA Service Level: 2
DIST-CO-RTE-PM: 11-SD-5-1580
Work Description: 0.3 Mile north of La Jolla Village Dr. Overcrossing
Location Description: 0.3 Mile north of La Jolla Village Dr. Overcrossing
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Kareem Scarlet Structure Rep.: Cortez Adrian

Sample Information

DIME Sample ID: 2017-02-28-8
TL Number from the TL Form: C585241
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 02/28/2017
Date that the sample was received by the laboratory/organization performing the testing: 03/03/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: A722 Threaded Bar
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type: Deformed
Rebar Size: 2.5"
Nut Specification for Threaded Bar: 150 ksi
System Manufacturer: Williams Form
Epoxy Coating Color: Purple
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): NF14204692 NF14102183
Nut Heat Number(s): T-160101
Bar Lot Number: Unknown
Nut Lot Number: Unknown
Coupler Heat Number(s): J7740
Coupler Grade: 150 ksi
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2017-02-28-8-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 03/13/2017
Date Tested: 03/10/2017
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:
Test Result Compliance: does not comply
Additional Comments When Verified:
Lower spec. limit LSL 10 mils
Upper spec. limit USL 15 mils
Bar # for First Bar B1
Bar # for Second Bar B2
First Bar Mean 8.95 mils
Second Bar Mean 9.35 mils
Total mean value 9.15 mils