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Testing Report for 2018-06-24-1-7

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

Project Information

Project ID: 212618 DEA: 044G0564 EFIS: 0417000154 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: 2018-06-24-1
TL Number from the TL Form:
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: (510) 385-8178
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 06/24/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/29/2018
The quantity of what the sample constitutes: 100
A brief description of the sample: No. 9 Grade 75 epoxy coated bars, and hex nuts
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form

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: ASTM A108
System Manufacturer: Williams Form Eng
Epoxy Coating Color: Purple
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100792512,100792511,100891184,100888818
Nut Heat Number(s): 8296508
Bar Lot Number: 10079251121,10089118420,10088881821,100792512
Nut Lot Number: 9J1D
Coupler Heat Number(s):
Coupler Grade:

Test Information

DIME Test ID: 2018-06-24-1-1
Test Method: ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)
Verified Date: 07/11/2018
Date Tested: 07/10/2018
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 100792512-7 A
Bar # for Second Bar 100792512-7 B
First Bar Mean 9.58
Second Bar Mean 10.48
Total mean value 10.03