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Testing Report for 2018-05-17-11-1

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

Project Information

DEA: 044G0564
EFIS: 0417000154
Project ID: 212618
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-680-M2.4/M12.4
Work Description: ROADWAY REHAB, BRIDGE REPLACEMENT, RET. WALLS, TOLL SYSTEMS
Location Description: FREMONT AND AT SUNOL FROM MISSION BOULEVARD SEPARATION TO KOOPMAN ROAD UNDERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Yannaing Tun
Structure Rep.: Jordan Jarosz

Sample Information

DIME Sample ID: 2018-05-17-11
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 5/17/2018
Date that the sample was received by the laboratory/organization performing the testing: 5/21/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: 9 ASTM A615 Grade 75 ASTM A934 Purple Epoxy Coated Threaded WFE Bars w/ nutes
From where was the sample collected: Manufacturer
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: 9
Nut Specification for Threaded Bar: NA
System Manufacturer: Williams Form
Epoxy Coating Color: Purple
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100789840, 100888818
Nut Heat Number(s): NA
Bar Lot Number: NA
Nut Lot Number: NA
Coupler Heat Number(s): NA
Coupler Grade: NA

Test Information

DIME Test ID: 2018-05-17-11-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Date Tested: 5/22/2018
Verified Date: 5/22/2018
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:
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Lower spec. limit LSL: 10
Upper spec. limit USL: 15
Bar # for First Bar: 1 Red
Bar # for Second Bar: 2 Red
First Bar Mean: 10.52 mils
Second Bar Mean: 11.42 mils
Total mean value: 10.97 mils