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Sample Record for 2019-03-25-1

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Project Information

Project ID: 213126 DEA: 051J6604 EFIS: 0518000009 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-192-8.0/12.5
Work Description: Replace bridges (3) and bridge rails (2)
Location Description: In Santa Barbara County in and near Santa Barbara, Montecito, and Carpinteria.
Contractor Address: P.O. Box 1489, Sun Valley, California 91353
Resident Engineer: Russell Moussavian Structure Rep.: Raymond Barajas

Sample Information

DIME Sample ID: 2019-03-25-1
TL Number from the TL Form:
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: 03/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/25/2019
The quantity of what the sample constitutes: 30 all thread bars 50' long
A brief description of the sample: Threaded Bar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form San Diego

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 150
Threaded Bar Type: Deformed
Rebar Size: 11
Nut Specification for Threaded Bar: A29 Grade 1045
System Manufacturer: Williams Form Engineering
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 10884671
Nut Heat Number(s): 75071080
Bar Lot Number: NA
Nut Lot Number: 36A9D
Coupler Heat Number(s): NA
Coupler Grade: NA

Test Results

Test 1 of 1

DIME Test ID: 2019-03-25-1-1
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 04/12/2019
Date Tested: 04/12/2019
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:
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of Threaded Bar Samples 2
SampleSizeMfg LotArea (sqin)Tensile Strength (psi)Stress at Offset (psi)Total Elongation (%)Reduction of area (%)CommentsTested By
11 3/8108846711.50430153981836689.0953.18A722 Bar Heat 10884671, Nut Heat 75071080 FSaylor
21 3/8108846711.581657221444189.0953.18A722 Bar Heat 10884671, Nut Heat 75071080 FSaylor
Temperature 72 f

Tests Assigned to this Sample

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