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Sample Record for 2022-09-13-1

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

Project Information

Project ID: 993192 DEA: 024H4404 EFIS: 0218000119 QA Service Level: 1
DIST-CO-RTE-PM: 02-PLU-70-0.0/29.9
Work Description: CONSTRUCT SOLDIER PILE RETAINING WALL, REPAIR RSP AND HMA PAVING.
Location Description: PLUMAS COUNTY AT VARIOUS LOCATIONS FROM BUTTE COUNTY LINE TO 3.1 MILES WEST OF ROUTE 89
Contractor Name: Q & D CONSTRUCTION, INC
Contractor Address: 1050 S 21st STREET, SPARKS, NV 89431
Resident Engineer: Mike Zdenek Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2022-09-13-1
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: 09/13/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/20/2022
The quantity of what the sample constitutes: 2 per heat
A brief description of the sample: 36mm stretched threaded bar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dywidag Systems International

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 18
Threaded Bar Type: Deformed
Rebar Size: M36
Nut Specification for Threaded Bar: A519
System Manufacturer: Dywidag Systems
Epoxy Coating Color: NA
Threaded Bar Application: Soil Nail
Coating Standards: Uncoated
Bar Heat Number(s): 58049501/04
Nut Heat Number(s): A205905
Bar Lot Number: N/A
Nut Lot Number: N/A
Coupler Heat Number(s): N/A
Coupler Grade: N/A
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2022-09-13-1-1
Test Method: ASTM A722-18: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 09/27/2022
Date Tested: 09/23/2022
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 : 36mm58049501/041.357158144.39142.88033.1A722 Bar and Nutspaine
Temperature 72 f
UTM 400kip

Test 2 of 2

DIME Test ID: 2022-09-13-1-2
Test Method: ASTM A722-18: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 09/27/2022
Date Tested: 09/23/2022
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 : 36mm58049501/041.58159776.81142.067.270A722 Bar and Nutspaine
Temperature 72 f
UTM 400kip