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Sample Record for 2020-10-06-1

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Project Information

Project ID: 214099 DEA: 024F5904 EFIS: 0213000010 QA Service Level: 1
DIST-CO-RTE-PM: 02-TEH-5-R25.4
Work Description: BRIDGE SEISMIC RETROFIT AND SCOUR REPAIR.
Location Description: TEHAMA COUNTY IN RED BLUFF AT SACRAMENTO RIVER BRIDGE
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Mike Z'denek Structure Rep.: Duran, Ryan

Sample Information

DIME Sample ID: 2020-10-06-1
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: 10/06/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/09/2020
The quantity of what the sample constitutes: 1 Lot
A brief description of the sample: Micro Pile All Thread Bar
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering San Diego

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type: Deformed
Rebar Size: #10
Nut Specification for Threaded Bar: A29
System Manufacturer: Williams Form Engineering
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 62150556
Nut Heat Number(s): 75075291 Code 32U5D
Bar Lot Number: 1
Nut Lot Number: 1
Coupler Heat Number(s): 100102769 Code 32M6D
Coupler Grade: 150 ksi

Test Results

Test 1 of 3

DIME Test ID: 2020-10-06-1-1
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 10/14/2020
Date Tested: 10/13/2020
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 & Coupler
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 1/4 : 32mm621505561.25152093.71142.730100A722 Bar Nut & Couplerfsaylor
Temperature 72 f
UTM 2000kip

Test 2 of 3

DIME Test ID: 2020-10-06-1-2
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 10/14/2020
Date Tested: 10/13/2020
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
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 1/4 : 32mm621505561.138169675.23156.25034A722 Barfsaylor
Temperature 72 f
UTM 2000kip

Test 3 of 3

DIME Test ID: 2020-10-06-1-3
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 10/14/2020
Date Tested: 10/13/2020
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
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 1 1/4 : 32mm621505561.25175296.29144.967.5100A722 Barfsaylor
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.