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Sample Record for 2018-08-23-2

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

Project Information

Project ID: 213002 DEA: 042640N4 EFIS: 0412000649 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN,SON-101-MRN27.0/27.6SON0.0/4.5
Work Description: CONSTRUCT HOV LANES
Location Description: MARIN AND SONOMA COUNTIES IN AND NEAR PETALUMA FROM 0.6 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE TO 0.3 MILE SOUTH OF EAST WASHINGTON STREET OVER CROSSING
Contractor Name: GHILOTTI CONSTRUCTION COMPANY
Contractor Address: 2301 Kerner Blvd Ste. E, San Rafael, CA 94901
Resident Engineer: Hal Streater Structure Rep.: Brian Beaudoin

Sample Information

DIME Sample ID: 2018-08-23-2
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: 5625005861
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 08/23/2018
Date that the sample was received by the laboratory/organization performing the testing: 08/27/2018
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: Threadbar
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DSI

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 150
Threaded Bar Type: Deformed
Rebar Size: 10
Nut Specification for Threaded Bar: A897
System Manufacturer: DSI
Epoxy Coating Color: NA
Threaded Bar Application: Soil Nail
Coating Standards: Uncoated
Bar Heat Number(s): 6214398803, 6214398702
Nut Heat Number(s): B198
Bar Lot Number: 03
Nut Lot Number: Unknown
Coupler Heat Number(s): Unknown
Coupler Grade: Unknown

Test Results

Test 1 of 4

DIME Test ID: 2018-08-23-2-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/28/2018
Date Tested: 08/28/2018
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 Threaded Bar and 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#10 Bar Heat #6214398803 Nut Heat #B198L53-048-181.27126936999327.3A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP

Test 2 of 4

DIME Test ID: 2018-08-23-2-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/28/2018
Date Tested: 08/28/2018
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 Threaded Bar and 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
2#10 Bar Heat #6214398803 Nut Heat #B198L53-048-181.271323361019640A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP

Test 3 of 4

DIME Test ID: 2018-08-23-2-3
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/28/2018
Date Tested: 08/28/2018
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 Threaded Bar and 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
3#10 Bar Heat #6214398702 Nut Heat #B198L53-048-181.27129357999356.7A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP

Test 4 of 4

DIME Test ID: 2018-08-23-2-4
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/28/2018
Date Tested: 08/28/2018
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 Threaded Bar and 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
4#10 Bar Heat #6214398702 Nut Heat #B198L53-048-181.271314601003920A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP