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Testing Report for 2018-07-26-7-3

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

Project Information

Project ID: 212995 DEA: 01262044 EFIS: 0112000203 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-101-47.2/47.3
Work Description:
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Nash Munes Structure Rep.: Tatjana Halda

Sample Information

DIME Sample ID: 2018-07-26-7
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Bay Area Field Laboratory
Sample Organization Contact: (707) 649-5453
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 07/26/2018
Date that the sample was received by the laboratory/organization performing the testing: 07/30/2018
The quantity of what the sample constitutes: 2 heats 1 powder
A brief description of the sample: 9 ASTM A615 Grade 75 ASTM A934 Purple Epoxy Coated Threaded WFE Bars w/ nuts
From where was the sample collected: Fabricator
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: Deformed
Rebar Size: 9
Nut Specification for Threaded Bar: ASTM A108
System Manufacturer: Williams Form
Epoxy Coating Color: Purple
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 1201000640 1201000649
Nut Heat Number(s): 8296508
Bar Lot Number: PG08744
Nut Lot Number: 9J1D
Coupler Heat Number(s): N/A
Coupler Grade: Not applicable

Test Information

DIME Test ID: 2018-07-26-7-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/01/2018
Date Tested: 07/31/2018
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:
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
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)CommentsTested By
1#9 Bar Heat #1202000640B3620651811090508441210.5A615 BarFred
Temperature 72 F