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Sample Record for 2018-10-04-1

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

Project Information

Project ID: 213205 DEA: 051J6704 EFIS: 0518000010 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-192-15.4/15.6
Work Description: Replace bridge and restore roadway
Location Description: Arroyo Paredon Bridge
Contractor Name: LASH CONSTRUCTION, INC.
Contractor Address: 721 Carpinteria St., Santa Barbara, CA 93103
Resident Engineer: Michael Mortensen Structure Rep.: Raymond Barajas

Sample Information

DIME Sample ID: 2018-10-04-1
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 10/04/2018
Date that the sample was received by the laboratory/organization performing the testing: 10/05/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: ATB A722 1-3/8
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: WFE

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type:
Rebar Size:
Nut Specification for Threaded Bar: A29
System Manufacturer: Not Available
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 62139760
Nut Heat Number(s): 75071080
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: 2018-10-04-1-1
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 10/11/2018
Date Tested: 10/11/2018
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A722 Threaded Bar and 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 1.375\" Threaded Bar & NutL73-020-181.458159121131921040.1A722 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP

Test 2 of 2

DIME Test ID: 2018-10-04-1-2
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 10/11/2018
Date Tested: 10/11/2018
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: A722 Threaded Bar and 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 1.375\" Threaded Bar & NutL73-020-181.581656671318336.40A722 Threaded Bar and NutBrian
Temperature 72 F
UTM 400KIP

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.