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Sample Record for 2018-06-25-1

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

Project Information

Project ID: 211777 DEA: 04209504 EFIS: 0412000116 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN,SON-1-50.2/50.5,0.0/0.2
Work Description: REPLACE ESTERO BRIDGE AND REALIGN APPROACHING ROADWAY; Bridge No. 27-0121
Location Description: MARIN AND SONOMA COUNTIES NEAR VALLEY FORD FROM 0.4 MILE SOUTH OF ESTERO AMERICANO BRIDGE TO 0.2 MILE NORTH OF ESTERO AMERICANO BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION COMPANY
Contractor Address: 2301 Kerner Blvd Ste. E, San Rafael, CA 94901
Resident Engineer: Scott Hislop Structure Rep.: Clifford Law

Sample Information

DIME Sample ID: 2018-06-25-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: 5625005861
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 06/25/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/25/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: 1 A722 Thread Bar
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DSI

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: xxx
System Manufacturer: DSI
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: Uncoated
Bar Heat Number(s): 6214608004
Nut Heat Number(s): 74105860
Bar Lot Number: Unknown
Nut Lot Number: Unknown
Coupler Heat Number(s): Unknown
Coupler Grade: Unknown

Test Results

Test 1 of 2

DIME Test ID: 2018-06-25-1-1
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 06/26/2018
Date Tested: 06/26/2018
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 DSI 1\" Threaded Bar & Nut Bar #6214608004, Nut #741058600.731158589141675537.1A722 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2018-06-25-1-2
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 06/26/2018
Date Tested: 06/26/2018
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 DSI 1\" Threaded Bar & Nut Bar #6214608004, Nut #741058600.85157861136611100A722 Bar & NutFred
Temperature 72 F
UTM 400KIP