Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214099 DEA: 024F5904 EFIS: 0213000010
QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-5-R25.4
Work Description: BRIDGE SEISMIC RETROFIT AND SCOUR REPAIR.
Location Description: TEHAMA COUNTY IN RED BLUFF AT SACRAMENTO RIVER BRIDGE
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Mike Z'denek Structure Rep.: Ryan Duran
DIME Sample ID: 2022-04-11-28
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 04/11/2022
Date that the sample was received by the laboratory/organization performing the testing: 04/21/2022
The quantity of what the sample constitutes: 2
A brief description of the sample: A722 Threaded Bar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering
Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type:
Rebar Size:
Nut Specification for Threaded Bar: A29
System Manufacturer: Williams Form Engineering
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: Uncoated
Bar Heat Number(s): 100204161
Nut Heat Number(s): 74115021
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:
DIME Test ID: 2022-04-11-28-1
Test Method: ASTM A722-18: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 05/02/2022
Date Tested: 04/28/2022
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: A722 Bar and Nut
Test Result Compliance:
Additional Comments When Verified:
|
Number of Threaded Bar Samples
|
1
|
| Sample | Size | Mfg Lot | Area (sqin) | Tensile Strength (psi) | Stress at Offset (psi) | Total Elongation (%) | Reduction of area (%) | Comments | Tested By | | 1 | ASTM A722 Type II Deformed Bar 1 1/4 : 32mm | 100204161 | 1.157 | 156977.93 | 146.56 | 0 | 54.8 | A722 Bar and Nut | bewing |
| |
|
Temperature
|
72 f
|
|
UTM
|
400kip
|
DIME Test ID: 2022-04-11-28-2
Test Method: ASTM A722-18: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 05/02/2022
Date Tested: 04/28/2022
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: A722 Bar and Nut
Test Result Compliance:
Additional Comments When Verified:
|
Number of Threaded Bar Samples
|
1
|
| Sample | Size | Mfg Lot | Area (sqin) | Tensile Strength (psi) | Stress at Offset (psi) | Total Elongation (%) | Reduction of area (%) | Comments | Tested By | | 2 | ASTM A722 Type II Deformed Bar 1 1/4 : 32mm | 100204161 | 1.25 | 165015.24 | 141.46 | 8 | 100 | A722 Bar and Nut | bewing |
| |
|
Temperature
|
72 f
|
|
UTM
|
400kip
|
