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Sample Record for 2017-01-25-5

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 211768 DEA: 043K1104 EFIS: 0417000079 QA Service Level: 1
DIST-CO-RTE-PM: 04-SF-80-8.3, 8.30
Work Description: Replace SAS tower anchor rod grout
Location Description: Bay Bridge
Contractor Name: CALIFORNIA ENGINEERING CONTRACTORS, INC.
Contractor Address: 20 HAPPY VALLEY ROAD, PLEASANTON CA 94566
Resident Engineer: Roberto Borja Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2017-01-25-5
TL Number from the TL Form: C953154
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: 01/25/2017
Date that the sample was received by the laboratory/organization performing the testing: 01/31/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: Williams Thread Bars
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type: Deformed
Rebar Size: 2.25"
Nut Specification for Threaded Bar: A722
System Manufacturer: Williams form
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): NF15204277
Nut Heat Number(s): MM12102758
Bar Lot Number: Unknown
Nut Lot Number: Unknown
Coupler Heat Number(s): MM16100365
Coupler Grade: A722

Test Results

Test 1 of 2

DIME Test ID: 2017-01-25-5-1
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 02/02/2017
Date Tested: 02/02/2017
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 & Nut
Test Result Compliance:
Additional Comments When Verified:
Number of Threaded Bar Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)Reduction of area (%)CommentsTested By
1A722 Williams Form 2.250\" x 6\' Threaed Bar Heat #NF152042773.75158510148860445A722 Bar & NutFred / Brian
Temperature 72 F
UTM 2000KIP

Test 2 of 2

DIME Test ID: 2017-01-25-5-2
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 02/02/2017
Date Tested: 02/02/2017
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 Coupler & Nut
Test Result Compliance:
Additional Comments When Verified:
Number of Threaded Bar Samples 1
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)Reduction of area (%)CommentsTested By
2A722 Williams Form 2.250\" x 6\' Threaed Bar Heat #NF152042774161880140465075A722 Bar Coupler & NutFred / Brian
Temperature 72 F
UTM 2000KIP