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Testing Report for 2018-06-06-4-9

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: 2018-06-06-4
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: 6/6/2018
Date that the sample was received by the laboratory/organization performing the testing: 6/8/2018
The quantity of what the sample constitutes: 8
A brief description of the sample: No. 9 Grade 75 epoxy coated bars, and hex nuts
From where was the sample collected: Fabricator
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: Gr 75 ATB
System Manufacturer: Williams Form
Epoxy Coating Color: Purple
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100888818 100789840 100891184 100792512
Nut Heat Number(s): 8296508
Bar Lot Number: Unknown
Nut Lot Number: 9J1D
Coupler Heat Number(s): Unknown
Coupler Grade: Unknown

Test Information

DIME Test ID: 2018-06-06-4-9
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Date Tested: 6/12/2018
Verified Date: 6/13/2018
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: A615 Bar
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of Samples: 1
Sample Size Mfg Lot Area (sqin) Tensile Strength (psi) Stress at Offset (psi) Total Elongation (%) Comments Tested By
7 #9 Bar Heat #100789840 B36203718 1 122357 92089 9.3 A615 Bar Fred
Temperature: 72 F
UTM: 400KIP