Sample Record for 2026-07-24-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1002369 DEA: 061K4404 EFIS: 0626000241
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-168-L30.34/L30.84
Work Description: Rockslide Repair - Install four (4) bonded rock anchors at one (1) location. Bars to be 150 ksi, 1"-4 diameter/pitch, 12 ft long with 5 ft bond length.
Location Description:
Contractor Name: Drill Tech Drilling & Shoring, Inc. (Brandon Manahan)
Contractor Address: Unknown
Resident Engineer: Eduardo Bravo Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-07-24-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 07/24/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/24/2026
The quantity of what the sample constitutes: 4
A brief description of the sample: 1 inch ASTM A722 All-Thread Bar (150 ksi) Rock Anchor System with Hex Nut and Washer
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Jobsite
Material Information
Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type: Deformed
Rebar Size: #8
Nut Specification for Threaded Bar: 150 ksi
System Manufacturer: Williams Form Engineering
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A153 galvanized
Bar Heat Number(s): 58062582
Nut Heat Number(s): 1000127644
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:
Test Results
Test
DIME Test ID: 2026-07-24-2-1
Test Method: ASTM A722-18: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 08/10/2026
Date Tested: 08/07/2026
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of Threaded Bar Samples
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2
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| Sample | Size | Mfg Lot | Area (sqin) | Tensile Strength (psi) | Stress at Offset (psi) | Total Elongation (%) | Reduction of area (%) | Comments | Tested By | | 1 | 1 | 58062582 | 0.85 | 163310 | 125410 | 9.0 | 0 | NA | WSP | | 2 | 1 | 58062582 | 0.85 | 156790 | 134540 | 0 | 33.29 | NA | WSP |
| |
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Temperature
|
0 f
|
|
UTM
|
NA
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