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Sample Record for 2018-06-25-3

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Project Information

Project ID: 212354 DEA: 044K8504 EFIS: 0417000378 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN,MTRN-1-22.8, 22.80
Work Description: Giacomini Creek Bridge, Construct sheet pile wall, replace culvert
Location Description: ROUTE 1, AT POSTMILE 22.8, NEAR BOLINAS, AT 0.52 MILES NORTH OF HORSESHOE HILL RD., MARIN COUNTY SLIPOUT, CONSTRUCT SOLDIER PILE WALL
Contractor Name: Valentine Corp.
Contractor Address: 111 Pelican Way, San Rafael, CA 94901
Resident Engineer: Steve Russell Structure Rep.: Jeremy Light

Sample Information

DIME Sample ID: 2018-06-25-3
TL Number from the TL Form: C647237
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: 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 in 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

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type:
Rebar Size: 8
Nut Specification for Threaded Bar: ASTM A 29
System Manufacturer: Williams Form Eng
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 100884585
Nut Heat Number(s): NF15203286, 498335
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: 2018-06-25-3-1
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 Williams 1\" Threaded Bar & Nut Bar #100884585, Nut #26D9D0.776159543143063554.4A722 Bar & NutFred
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2018-06-25-3-2
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 Williams 1\" Threaded Bar & Nut Bar #100884585, Nut #26D9D0.85166545138930100A722 Bar & nutFred
Temperature 72 F
UTM 400KIP