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Testing Report for 2020-06-30-4-1

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

Project Information

Project ID: 214216 DEA: 071XM404 EFIS: 0719000232 QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-33-22.16
Work Description: This is the emergency project to repair pavement cracking, stabilize the eroded slope, construct a soldier pile tieback wall and reconstruct the steel post MGS
Location Description: Ventura County on Route 33 at PM.22.16.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Alan Davis Structure Rep.: Aziz Maghsoudloo

Sample Information

DIME Sample ID: 2020-06-30-4
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: Acceptance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 06/30/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/09/2020
The quantity of what the sample constitutes: Unknown
A brief description of the sample: Epoxy coated A722 All-Thread bars
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Wiiliams Form Eng

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type: Plain
Rebar Size:
Nut Specification for Threaded Bar: ASTM A29/A108
System Manufacturer: Williams Form Eng
Epoxy Coating Color: Green
Threaded Bar Application: Threaded Bar
Coating Standards: ASTM A775 epoxy
Bar Heat Number(s): 62151266
Nut Heat Number(s): 8298464
Bar Lot Number: Unknown
Nut Lot Number: 26E5D
Coupler Heat Number(s): N/A
Coupler Grade: N/A

Test Information

DIME Test ID: 2020-06-30-4-1
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 07/14/2020
Date Tested: 07/09/2020
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:
Organization Phone: (916) 227-7253
General Comments for this Test: Bar Heat #62151266 Nut Heat #26E5D
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

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 : 26mmL08061200.782170252.33153.83032.3Bar Heat #62151266 Nut Heat #26E5Dfsaylor
Temperature 72 f
UTM 400kip