Sample Record for 2026-05-28-5
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: 2026-05-28-5
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: 05/28/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/04/2026
The quantity of what the sample constitutes: 4
A brief description of the sample: #9 HRC 150 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: Authorization Testing
Rebar Heat Number(s): 171525
Head Manufacturer Lot Number(s): 400003476521
Rebar Size: #9
Headed Bar Model Name: HRC Type 150
Size of Head: Reduced Size - 4x
Head Connection Type: Friction Weld
Head Shape: Circular
Rebar Manufacturer: Cascade Steel
Head Manufacturer: HRC
Head Fabricator: Nucor Utah
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9FW-17-04
Test Results
Test
DIME Test ID: 2026-05-28-5-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/05/2026
Date Tested: 06/05/2026
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
|
4
|
| Lot # | Area (sqin) | Peak Load (lbf) | Tensile Strength (psi) | Comments | Tested By | | 1 | 1 | 95870 | 96000 | Ok Necking | Kleinfelder | | 1 | 1 | 95740 | 95500 | Ok Necking | Kleinfelder | | 1 | 1 | 97290 | 97500 | Ok Necking | Kleinfelder | | 1 | 1 | 95340 | 95500 | Ok Necking | Kleinfelder |
| |
|
Temperature
|
0 f
|
|
UTM
|
NA
|
