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Sample Record for 2017-08-18-3

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

Project Information

Project ID: 211690 DEA: 042A3204 EFIS: 0400000817 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-121-9.2/9.4
Work Description: ROADWAY WIDENING, BRIDGE REPLACEMENT, CREEK GRADING
Location Description: NAPA COUNTY IN NAPA AT SILVERADO TRAIL ROAD
Contractor Name: GHILOTTI CONSTRUCTION COMPANY
Contractor Address: 2301 Kerner Blvd Ste. E, San Rafael, CA 94901
Resident Engineer: Fernando Dos Santos Structure Rep.: Chris Moulton

Sample Information

DIME Sample ID: 2017-08-18-3
TL Number from the TL Form: C647234
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 08/18/2017
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2017
The quantity of what the sample constitutes: 2
A brief description of the sample: ASTM A722
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Eng

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type: Deformed
Rebar Size: 1
Nut Specification for Threaded Bar: ASTM A29
System Manufacturer: Williams Form Eng
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 62142446
Nut Heat Number(s): NF15203286
Bar Lot Number: Unknown
Nut Lot Number: 26F1D
Coupler Heat Number(s): Unknown
Coupler Grade: Unknown

Test Results

Test 1 of 2

DIME Test ID: 2017-08-18-3-3
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 08/28/2017
Date Tested: 08/25/2017
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 WilliamsI 1\" Threaded Bar & NutL73009170.722162590141505033.9A722 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2017-08-18-3-4
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 08/28/2017
Date Tested: 08/25/2017
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
2A722 WilliamsI 1\" Threaded Bar & NutL73009170.851690191327728.10A722 Bar & NutFred
Temperature 72 F
UTM 400KIP