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Sample Record for 2018-01-05-7

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

Project Information

Project ID: 212149 DEA: 044K4804 EFIS: 0417000314 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-35-9.8, 9.80
Work Description: Construct soldier pile tie-back wall. Supplemental Director's order to also install soil nail wall.
Location Description: IN SAN MATEO COUNTY, ON ROUTE 35 AT POSTMILE 9.8/9.9, NEAR SKYLONDA , AT 0.1 MILE NORTH OF CHAPMAN ROAD
Contractor Name: Disney Construction Inc
Contractor Address: 859 Cowan Road, Suite #3, Burlingame, CA 94010
Resident Engineer: Fred Booshehri Structure Rep.: Ahmed Moin

Sample Information

DIME Sample ID: 2018-01-05-7
TL Number from the TL Form: Unknown
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: 01/05/2018
Date that the sample was received by the laboratory/organization performing the testing: 01/06/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: ASTM A615 ATB No 8 Epoxy Coated ASTM A934
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
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: Deformed
Rebar Size: #8
Nut Specification for Threaded Bar: 75
System Manufacturer: Williams Form
Epoxy Coating Color: Purple
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100789840
Nut Heat Number(s): 8292593
Bar Lot Number: Unknown
Nut Lot Number: 8R1D
Coupler Heat Number(s): Unknown
Coupler Grade: Unknown

Test Results

Test 1 of 3

DIME Test ID: 2018-01-05-7-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 01/10/2018
Date Tested: 01/10/2018
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 & 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
1#8 Williams Bar Heat #100789840, Nut Heat #8L73004180.791260421016267.3A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 3

DIME Test ID: 2018-01-05-7-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 01/10/2018
Date Tested: 01/10/2018
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 & 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
1#8 Williams Bar Heat #100789840, Nut Heat #8L73004180.791254541009980A615 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 3 of 3

DIME Test ID: 2018-01-05-7-3
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 01/10/2018
Date Tested: 01/10/2018
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: complies
Additional Comments When Verified:
Lower spec. limit LSL 10 mils
Upper spec. limit USL 15 mils
Bar # for First Bar 1
Bar # for Second Bar 2
First Bar Mean 10.96
Second Bar Mean 9.88
Total mean value 10.42