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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.: Clifford Law

Sample Information

DIME Sample ID: 2017-05-18-1
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: 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 on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2017-05-18-1-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/24/2017
Date Tested: 05/24/2017
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: Coupler #8N8D
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
1#8 Bar and Nut and Coupler #8N8DL080.79122614963220Coupler #8N8DBrian
Temperature 72 F
UTM 400KIP

Test 2 of 3

DIME Test ID: 2017-05-18-1-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/24/2017
Date Tested: 05/24/2017
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: Coupler #8N8D
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
2#8 Bar and Nut and Coupler #8N8DL080.79121685970450Coupler #8N8DBrian
Temperature 72 F
UTM 400KIP

Test 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 (Epoxy Coating)
Verified Date: 05/24/2017
Date Tested: 05/23/2017
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: Couplers Only
Test Result Compliance: complies
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