Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 212501 DEA: 022E4804 EFIS: 0200000586
QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96,263-103.1/103.6,56.8/57.2
Work Description: BRIDGE REPLACEMENT
Location Description: SISKIYOU COUNTY ABOUT 8 MILES NORTH OF YREKA ON ROUTE 96 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 263 AND ON ROUTE 263 FROM 0.3 MILE NORTH OF SHASTA RIVER BRIDGE #02-0014 TO ROUTE 96
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Nicole Mallory Structure Rep.: Andy O'Sullevan
DIME Sample ID: 2020-08-05-10
TL Number from the TL Form: C858377
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Verification
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 08/05/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/07/2020
The quantity of what the sample constitutes: 2
A brief description of the sample: 10 Rebar
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unknown
Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A706
Threaded Bar Grade: 60
Threaded Bar Type:
Rebar Size: #10
Nut Specification for Threaded Bar: Unknown
System Manufacturer: Unkown
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: Uncoated
Bar Heat Number(s):
Nut Heat Number(s):
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:
DIME Test ID: 2020-08-05-10-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/07/2020
Date Tested: 08/07/2020
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:
Test Result Compliance:
Additional Comments When Verified:
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Number of Samples
|
2
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| Sample | Size | Mfg Lot | Area (sqin) | Tensile Strength (psi) | Stress at Offset (psi) | Total Elongation (%) | Comments | Tested By | | 1 | 10 | Not Available | 1.27 | 98090 | 65380 | 18.56 | 2 samples provided | Fred Saylor | | 2 | 10 | Not Available | 1.27 | 97896 | 63971 | 17.41 | 2 samples provided | Fred Saylor |
| |
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Temperature
|
72 f
|
|
UTM
|
400KIP
|
