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Sample Record for 2020-08-28-2

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Project Information

Project ID: 214511 DEA: 010E0004 EFIS: 0113000091 QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-84.4/84.8
Work Description: BRIDGE RAIL REPLACEMENT.
Location Description: HUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Nathaniel Steen Structure Rep.: Jarred Burrows

Sample Information

DIME Sample ID: 2020-08-28-2
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: 08/28/2020
Date that the sample was received by the laboratory/organization performing the testing: 08/31/2020
The quantity of what the sample constitutes: 15
A brief description of the sample: 1 3/8" threaded rod with HHN
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Williams Form Engineering-SD

Material Information

Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 18
Threaded Bar Type: Plain
Rebar Size: #11
Nut Specification for Threaded Bar: ASTM A 29
System Manufacturer: Schwager Davis
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 62151303-04
Nut Heat Number(s): 74116251
Bar Lot Number: N/A
Nut Lot Number: 36E3D
Coupler Heat Number(s): N/A
Coupler Grade: N/A

Test Results

Test 1 of 2

DIME Test ID: 2020-08-28-2-1
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 09/02/2020
Date Tested: 09/02/2020
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 Threaded 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 : 36mm11.503165998.02145.39032.3A722 Threaded Bar and Nutbewing
Temperature 72 f
UTM 2000kip

Test 2 of 2

DIME Test ID: 2020-08-28-2-2
Test Method: ASTM A722-15: Standard Specification for High-Strength Steel Bars for Prestressed Concrete (Tensile)
Verified Date: 09/02/2020
Date Tested: 09/02/2020
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 Threaded 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 : 36mm11.58166124.73139.064.550A722 Threaded Bar and Nutbewing
Temperature 72 f
UTM 2000kip