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Sample Record for 2022-01-13-1

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Project Information

Project ID: 215109 DEA: 081C8504 EFIS: 0813000047 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-74-0.0/5.8
Work Description: ROADWAY EXCAVATION, HOT MIX ASPHALT, AND STRUCTURAL SHOTCRETE WALLS.
Location Description: RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM ORANGE COUNTY LINE TO MONTE VISTA STREET
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 38000 MONROE STREET, INDIO, CA 92203
Resident Engineer: Osama Abdalla Structure Rep.: Ryan Kash (Reports)

Sample Information

DIME Sample ID: 2022-01-13-1
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: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 01/13/2022
Date that the sample was received by the laboratory/organization performing the testing: 01/25/2022
The quantity of what the sample constitutes: 2
A brief description of the sample: ASTM A722 All-Thread-Bar (150 ksi)
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering Golden, CO

Material Information

Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 722
Threaded Bar Type: Plain
Rebar Size: #11
Nut Specification for Threaded Bar: ASTM E112 Grade 1045
System Manufacturer: Gerdau
Epoxy Coating Color: Purple
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A934 epoxy
Bar Heat Number(s): 5804893203
Nut Heat Number(s): 75084199
Bar Lot Number: NA
Nut Lot Number: 36E9D
Coupler Heat Number(s): NA
Coupler Grade: NA

Test Results

Test 1 of 2

DIME Test ID: 2022-01-13-1-1
Test Method: ASTM A722-18: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 02/04/2022
Date Tested: 02/04/2022
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 and 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 1 3/8 : 36mm11.436165621.38148.97031.8A722 Bar and Nutbewing
Temperature 72 f
UTM 2000kip

Test 2 of 2

DIME Test ID: 2022-01-13-1-2
Test Method: ASTM A722-18: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 02/04/2022
Date Tested: 02/04/2022
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 and 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 1 3/8 : 36mm11.58173753.07151.086.36100A722 Bar and Nutbewing
Temperature 72 f
UTM 2000kip