Sample Record for 2026-05-22-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001361 DEA: 120M9704 EFIS: 1213000099
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-57-11.5/12.5
Work Description: CONST BRIDGES, RET WALLS, JPCP, HMA, CONC BARRIERS AND ELECT SYSTEMS.
Location Description: ORANGE COUNTY IN ORANGE AND ANAHEIM FROM 0.2 MILE SOUTH OF ORANGEWOOD AVENUE UNDERCROSSING TO KATELLA AVENUE UNDERCROSSING
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: Unknown
Resident Engineer: Aythem Al-Saleh Structure Rep.: Mohammad Rousta
Sample Information
DIME Sample ID: 2026-05-22-2
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 - Headed Bars
Sample Taken Date: 05/22/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/28/2026
The quantity of what the sample constitutes: 3122 120 T Heads
A brief description of the sample: ASMT A706 #5 rebar w/ 120 T heads
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC - Fountain Valley, CA
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 137526
Head Manufacturer Lot Number(s): 100013306040
Rebar Size: #5
Headed Bar Model Name: HRC 120
Size of Head: Full Size - 9x
Head Connection Type:
Head Shape: Square
Rebar Manufacturer: Cascade Steel Rolling Mills - Oregon
Head Manufacturer: Nucor Cold Finish Utah
Head Fabricator: HRC Fountain Valley CA
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9FW-17-03
Test Results
Test
DIME Test ID: 2026-05-22-2-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/02/2026
Date Tested: 06/02/2026
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of Headed Bar Samples
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20
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| Lot # | Area (sqin) | Peak Load (lbf) | Tensile Strength (psi) | Comments | Tested By | | 1 | 0.31 | 28130 | 90500 | Ok Necking | Kleinfelder | | 1 | 0.31 | 27470 | 88500 | Ok Necking | Kleinfelder | | 1 | 0.31 | 29650 | 95500 | Ok Necking | Kleinfelder | | 1 | 0.31 | 27460 | 88500 | Ok Necking | Kleinfelder | | 6 | 0.31 | 28260 | 91000 | Ok Necking | Kleinfelder | | 6 | 0.31 | 27810 | 89500 | Ok Necking | Kleinfelder | | 6 | 0.31 | 28460 | 92000 | Ok Necking | Kleinfelder | | 6 | 0.31 | 28650 | 92500 | Ok Necking | Kleinfelder | | 11 | 0.31 | 28680 | 92500 | Ok Necking | Kleinfelder | | 11 | 0.31 | 28680 | 92500 | Ok Necking | Kleinfelder | | 11 | 0.31 | 28500 | 92000 | Ok Necking | Kleinfelder | | 11 | 0.31 | 28650 | 92500 | Ok Necking | Kleinfelder | | 16 | 0.31 | 28660 | 92500 | Ok Necking | Kleinfelder | | 16 | 0.31 | 28600 | 92500 | Ok Necking | Kleinfelder | | 16 | 0.31 | 28060 | 90500 | Ok Necking | Kleinfelder | | 16 | 0.31 | 28820 | 93000 | Ok Necking | Kleinfelder | | 21 | 0.31 | 28350 | 91500 | Ok Necking | Kleinfelder | | 21 | 0.31 | 28100 | 90500 | Ok Necking | Kleinfelder | | 21 | 0.31 | 28280 | 91000 | Broke at Head | Kleinfelder | | 21 | 0.31 | 28560 | 92000 | Ok Necking | Kleinfelder |
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Temperature
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0 f
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UTM
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NA
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