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Testing Report for 2019-04-18-2-4

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: 2019-04-18-2
TL Number from the TL Form: 741315
Sample Submitted By Organization: Caltrans Vallejo Field Laboratory
Sample Organization Contact: (510) 774-6009
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 04/18/2019
Date that the sample was received by the laboratory/organization performing the testing: 05/22/2019
The quantity of what the sample constitutes: 150
A brief description of the sample: treaded bar with 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: Authorization Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Plain
Rebar Size: 9
Nut Specification for Threaded Bar: ASTM A29
System Manufacturer: Williams Form Eng
Epoxy Coating Color: NA
Threaded Bar Application: Soil Nail
Coating Standards: Uncoated
Bar Heat Number(s): 100798249,100798250,100798251
Nut Heat Number(s): 8297854
Bar Lot Number: 1 249,2 250,3 251
Nut Lot Number: 9J7D
Coupler Heat Number(s): Unknown
Coupler Grade: Unknown

Test Information

DIME Test ID: 2019-04-18-2-3
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/02/2019
Date Tested: 05/02/2019
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 Threaded Bar and Nut
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
2#9 Bar Heat# 100798249, Nut Lot #9J7DB10-128-1911226821098210A615 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP