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Sample Record for 2019-07-23-2

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

Project Information

Project ID: 213595 DEA: 044G8804 EFIS: 0413000058 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-880-10.7
Work Description: SEISMIC RETROFIT , REPLACE APPROACH SLABS AND EROSION CONTROL
Location Description: ALAMEDA COUNTY IN FREMONT AT CRANDALL CREEK BRIDGE.
Contractor Name: Disney Construction
Contractor Address: 533 airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Linda Phoen Structure Rep.: Vincent Tang

Sample Information

DIME Sample ID: 2019-07-23-2
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: 07/23/2019
Date that the sample was received by the laboratory/organization performing the testing: 07/26/2019
The quantity of what the sample constitutes: 2
A brief description of the sample: 2 1/4" threaded bar
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: Production Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type:
Rebar Size:
Nut Specification for Threaded Bar: ASTM A29/A576
System Manufacturer: Nucor
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: Uncoated
Bar Heat Number(s): 100894503
Nut Heat Number(s): L9135
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s): MM19101079
Coupler Grade: ASTM A29

Test Results

Test 1 of 3

DIME Test ID: 2019-07-23-2-1
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/30/2019
Date Tested: 07/30/2019
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: A722 Bar & Coupler
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 1/4 : 57mmNA4.08145814.96139.650100A722 Bar & Couplerbewing
Temperature 72 f
UTM 2000kip

Test 2 of 3

DIME Test ID: 2019-07-23-2-2
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/30/2019
Date Tested: 07/30/2019
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: 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
1ASTM A722 Type II Deformed Bar 2 1/4 : 57mmNA3.733159060.48149.57042.4A722 Bar & Nutbewing
Temperature 72 f
UTM 2000kip

Test 3 of 3

DIME Test ID: 2019-07-23-2-3
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/30/2019
Date Tested: 07/30/2019
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: 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
2ASTM A722 Type II Deformed Bar 2 1/4 : 57mmNA4.08156329.53140.486.67100A722 Bar & Nutbewing
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.