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Sample Record for 2024-11-14-45

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Project Information

Project ID: 994326 DEA: 051C3604 EFIS: 0512000134 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-217-0.9/1.4
Work Description: REPLACE BRIDGE.
Location Description: SANTA BARBARA COUNTY NEAR GOLETA FROM 0.2 MILE EAST OF GOLETA SLOUGH BRIDGE TO 0.4 MILE EAST OF SAN JOSE CREEK BRIDGE
Contractor Name: MCM CONSTRUCTION
Contractor Address: 6413 32nd Street, North Highlands, Ca 95660
Resident Engineer: Manny Yogarajah Structure Rep.: Fabian Velasco

Sample Information

DIME Sample ID: 2024-11-14-45
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated -Sacramento
Sample Organization Contact: (916) 308-3701
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 11/14/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/20/2024
The quantity of what the sample constitutes: 4 of 840
A brief description of the sample: HRC 120 T-Heads
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Headed Reinforcement Corp, Fountain Valley, CA

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 312124
Head Manufacturer Lot Number(s): 100021620342
Rebar Size: #7
Headed Bar Model Name: HRC 120
Size of Head: Reduced Size - 4x
Head Connection Type: Friction Weld
Head Shape: Square
Rebar Manufacturer: Cascade Steel
Head Manufacturer: Nucor
Head Fabricator: Nucor
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9FW-17-03

Test Results

Test 1 of 2

DIME Test ID: 2024-11-14-45-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 11/25/2024
Date Tested: 11/25/2024
Submitted By Organization: Kleinfelder, Incorporated -Sacramento
Organization Address: 9969 Horn Road,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95827
Organization Email: jslinkard@kleinfelder.com
Organization Phone: (916) 308-3701
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of Headed Bar Samples 4
Lot #Area (sqin)Peak Load (lbf)Tensile Strength (psi)CommentsTested By
10.65865098000naMK
10.65907098500naMK
10.65638094000naMK
10.65634094000naMK
Temperature 72 f
UTM NA

Test 2 of 2

DIME Test ID: 2024-11-14-45-2
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 11/25/2024
Date Tested: 11/25/2024
Submitted By Organization: Kleinfelder, Incorporated -Sacramento
Organization Address: 9969 Horn Road,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95827
Organization Email: jslinkard@kleinfelder.com
Organization Phone: (916) 308-3701
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Number of Headed Bar Samples 4
Lot #Area (sqin)Peak Load (lbf)Tensile Strength (psi)CommentsTested By
40.605888098000naMK
40.605884098000naMK
40.605823097000naMK
40.605818097000naMK
Temperature 72 f
UTM NA