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Sample Record for 2019-06-21-1

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

Project Information

Project ID: 213747 DEA: 080Q9104 EFIS: 0800020580 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-10-R23.8
Work Description: RETROFIT BRIDGE PIER WALLS, FOOTINGS AND POLYESTER CONCRETE OVERLAY.
Location Description: SAN BERNARDINO COUNTY IN COLTON AT THE SANTA ANA RIVER BRIDGES
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606-4414
Resident Engineer: Maged Youssef Structure Rep.: Ching Chuang

Sample Information

DIME Sample ID: 2019-06-21-1
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: 06/21/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/24/2019
The quantity of what the sample constitutes: 6 bars, 1 coupler, 6 hex nuts
A brief description of the sample: ATB A722 plus couplers and hardware
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering

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: Unknown
System Manufacturer: Unknown
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: Uncoated
Bar Heat Number(s): 1000796073, 1000891061, 100891062
Nut Heat Number(s): 75072337 (64D1D)
Bar Lot Number: Unknown
Nut Lot Number: Unknown
Coupler Heat Number(s): C158181 (64U8D)
Coupler Grade: Unknown

Test Results

Test 1 of 8

DIME Test ID: 2019-06-21-1-1
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/03/2019
Date Tested: 07/02/2019
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: #1 Bar Heat #100891061
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
3ASTM A722 Type II Deformed Bar 2 1/2 : 65mmNA4.819156167.00139.35045.5#1 Bar Heat #100891061bewing
Temperature 72 f
UTM 2000kip

Test 2 of 8

DIME Test ID: 2019-06-21-1-2
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/03/2019
Date Tested: 07/02/2019
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: #1 Bar Heat# 100891062
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
5ASTM A722 Type II Deformed Bar 2 1/2 : 65mmNA4.588154240.36142.52043.5#1 Bar Heat# 100891062bewing
Temperature 72 f
UTM 2000kip

Test 3 of 8

DIME Test ID: 2019-06-21-1-3
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/03/2019
Date Tested: 07/02/2019
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bar 3 Heat # 100891062 with Coupler Bar Broke in Grip
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
7ASTM A722 Type II Deformed Bar 2 1/2 : 65mmNA5.16147966.57135.5100Bar 3 Heat # 100891062 with Coupler Bar Broke in Gripbewing
Temperature 72 f
UTM 2000kip

Test 4 of 8

DIME Test ID: 2019-06-21-1-4
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/03/2019
Date Tested: 07/02/2019
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: #1 Bar Heat #100796073
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
1ASTM A722 Type II Deformed Bar 2 1/2 : 65mmNA4.823152491.23152.33043.1#1 Bar Heat #100796073bewing
Temperature 72 f
UTM 2000kip

Test 5 of 8

DIME Test ID: 2019-06-21-1-5
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/03/2019
Date Tested: 07/02/2019
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bar 2 Heat#100796073 Elongation
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
2ASTM A722 Type II Deformed Bar 2 1/2 : 65mmNA5.16152688.31126.6380Bar 2 Heat#100796073 Elongationbewing
Temperature 72 f
UTM 2000kip

Test 6 of 8

DIME Test ID: 2019-06-21-1-6
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/03/2019
Date Tested: 07/02/2019
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bar 2 Heat#100891061 Elongation
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
4ASTM A722 Type II Deformed Bar 2 1/2 : 65mmNA5.16158926.24130.648.50Bar 2 Heat#100891061 Elongationbewing
Temperature 72 f
UTM 2000kip

Test 7 of 8

DIME Test ID: 2019-06-21-1-7
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/03/2019
Date Tested: 07/02/2019
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bar # 2 Heat# 100891062 Elongation
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
6ASTM A722 Type II Deformed Bar 2 1/2 : 65mmNA5.16157005.50131.3470Bar # 2 Heat# 100891062 Elongationbewing
Temperature 72 f
UTM 2000kip

Test 8 of 8

DIME Test ID: 2019-06-21-1-8
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/03/2019
Date Tested: 07/03/2019
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: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bar 3 Heat # 100891062 with Coupler Test Only
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
8ASTM A722 Type II Deformed Bar 2 1/2 : 65mmNA5.16158476.82153.99-100100Bar 3 Heat # 100891062 with Coupler Test Onlybewing
Temperature 72 f
UTM 2000kip

Tests Assigned to this Sample

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