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Sample Record for 2025-04-30-12

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Project Information

Project ID: 994525 DEA: 031H9904 EFIS: 0317000043 QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-80-68.3/69.7,0.0/R2.7
Work Description: RDWY EXC, PLACE HMA & JPCP, SLAB REPLACEMENT & POLYESTER CONC OVERLAY.
Location Description: PLACER AND NEVADA COUNTIES NEAR KINGVALE FROM 0.3 MILE WEST OF TROY UNDERCROSSING TO 0.2 MILE EAST OF SODA SPRINGS OVERCROSSING
Contractor Name: A. TEICHERT & SON INC DBA TEICHERT CONSTRUCTION
Contractor Address: 4401 Duluth Avenue, Rocklin, CA 95765
Resident Engineer: Randie Babbini Structure Rep.: Carl Anderson

Sample Information

DIME Sample ID: 2025-04-30-12
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 04/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/01/2025
The quantity of what the sample constitutes: 4
A brief description of the sample: #11 HRC 120 headed bars
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 3500037641
Head Manufacturer Lot Number(s): 100022341544
Rebar Size: #11
Headed Bar Model Name: HRC 120
Size of Head: Full Size - 9x
Head Connection Type:
Head Shape: Square
Rebar Manufacturer: Nucor
Head Manufacturer: Nucor
Head Fabricator: HRC
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9FW-17-03
Test results on following page(s): 1

Test Results

Test 1 of 1

DIME Test ID: 2025-04-30-12-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/04/2025
Date Tested: 06/03/2025
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
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
11.5613760088210NAMiguel Baltazar
11.5614200091030NAMiguel Baltazar
11.5614118090500NAMiguel Baltazar
11.5614183090920NAMiguel Baltazar
Temperature 72 f
UTM NA