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Sample Record for 2020-09-25-1

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Project Information

Project ID: 214629 DEA: 051H9304 EFIS: 0517000017 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-46-R17.2/R17.6
Work Description: CONSTRUCT ROUNDABOUT.
Location Description: SAN LUIS OBISPO COUNTY NEAR TEMPLETON FROM 0.2 MILE WEST TO 0.2 MILE EAST OF VINEYARD DRIVE
Contractor Name: CAL PORTLAND CONSTRUCTION
Contractor Address: 1625 E Donovan Road, Santa Maria, CA 93454
Resident Engineer: Rick Silva Structure Rep.: Salvador J Heredia

Sample Information

DIME Sample ID: 2020-09-25-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Acceptance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 09/25/2020
Date that the sample was received by the laboratory/organization performing the testing: 09/29/2020
The quantity of what the sample constitutes: 2
A brief description of the sample: #8 ASTM A615 Grade 75 Soil Nail
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering-SD

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Plain
Rebar Size: #8
Nut Specification for Threaded Bar: ASTM A108
System Manufacturer: Williams Form Engineering
Epoxy Coating Color: Purple
Threaded Bar Application: Soil Nail
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 100795951
Nut Heat Number(s): 8299543
Bar Lot Number: 10079595120
Nut Lot Number: 8T1D
Coupler Heat Number(s): A186354
Coupler Grade: 75

Test Results

Test 1 of 2

DIME Test ID: 2020-09-25-1-1
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 10/01/2020
Date Tested: 10/01/2020
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: 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
No.8/25mm0.79127675995409.36A615 Threaded Bar and Nutbewing
Temperature 72 f
UTM 400kip

Test 2 of 2

DIME Test ID: 2020-09-25-1-2
Test Method: ASTM A615-15: Standard Specification for Deformed and Plain Carbon-Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 10/01/2020
Date Tested: 10/01/2020
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: A615 Threaded Bar, Nut, and Coupler Heat #8W2D
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
No.8/25mm0.79124841999660A615 Threaded Bar, Nut, and Coupler Heat #8W2Dbewing
Temperature 72 f
UTM 400kip