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Sample Record for 2019-10-02-4

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Project Information

Project ID: 213357 DEA: 024F2004 EFIS: 0212000071 QA Service Level: 1
DIST-CO-RTE-PM: 02-SHA-44-59.4/59.8
Work Description: BRIDGE REPLACEMENT
Location Description: SHASTA COUNTY NEAR OLD STATION FROM 0.3 MILE WEST TO 0.2 MILE EAST OF HAT CREEK BRIDGE
Contractor Name: Steelhead Constructors, Inc
Contractor Address: 2490 Innsbruck Dr, Redding, CA-96003
Resident Engineer: Nathan Alexander Structure Rep.: Christopher Brace

Sample Information

DIME Sample ID: 2019-10-02-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Acceptance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 10/02/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/07/2019
The quantity of what the sample constitutes: 2
A brief description of the sample: 1-3/8" Threaded Bar Grade 150
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DSI

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type: Deformed
Rebar Size: 11
Nut Specification for Threaded Bar: ASTM A521
System Manufacturer: Jade Sterling
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 6215081003
Nut Heat Number(s): 100892437 and F119
Bar Lot Number: NA
Nut Lot Number: NA
Coupler Heat Number(s): NA
Coupler Grade: NA
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2019-10-02-4-1
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 10/04/2019
Date Tested: 10/04/2019
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 Heat #6215081003, Nut Heat #F119
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 1 3/8 : 36mmL110-139-191.58160482.70141.470100A722 Bar Heat #6215081003, Nut Heat #F119bewing
Temperature 72 f
UTM 400kip

Test 2 of 2

DIME Test ID: 2019-10-02-4-2
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 10/04/2019
Date Tested: 10/04/2019
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 Heat #6215081003, Nut Heat #100892437
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 1 3/8 : 36mmL110-139-191.283160885.33142.437.2740A722 Bar Heat #6215081003, Nut Heat #100892437bewing
Temperature 72 f
UTM 400kip