Sample Record for 2026-06-08-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000707 DEA: 041Q5824 EFIS: 0421000263
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0/21.8
Work Description: REHABILITATE PAVEMENT, UPGRADE SIGNS, GUARDRAIL, AND T
Location Description: SAN MATEO COUNTY FROM SAN MATEO COUNTY LINE IN EAST PALO ALTO TO 0.2 MILES NORTH OF COLMA CREEK BRIDGE IN SOUTH SAN FRANCISCO.
Contractor Name: Bay Cities Paving & Grading
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Ethan Malonzo Structure Rep.: Ricardo Silva Da Costa
Sample Information
DIME Sample ID: 2026-06-08-1
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: 06/08/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/15/2026
The quantity of what the sample constitutes: 4
A brief description of the sample: #9 Type 150 T-heads
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC - Fountain Valley
Material Information
Production or Authorization Testing: Authorization Testing
Rebar Heat Number(s): 9011398
Head Manufacturer Lot Number(s): 400003476521
Rebar Size: #9
Headed Bar Model Name: Type 150
Size of Head: Reduced Size - 4x
Head Connection Type: Friction Weld
Head Shape: Circular
Rebar Manufacturer: CMC Steel Arizona
Head Manufacturer: Nucor
Head Fabricator: Nucor
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9FW-17-04
Test Results
Test
DIME Test ID: 2026-06-08-1-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/30/2026
Date Tested: 06/30/2026
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:
|
Number of Headed Bar Samples
|
4
|
| Lot # | Area (sqin) | Peak Load (lbf) | Tensile Strength (psi) | Comments | Tested By | | 1 | 1 | 98690 | 98500 | Ok Necking | Kleinfelder | | 1 | 1 | 96220 | 96000 | Ok Necking | Kleinfelder | | 1 | 1 | 97630 | 97500 | Ok Necking | Kleinfelder | | 1 | 1 | 95950 | 96000 | Ok Necking | Kleinfelder |
| |
|
Temperature
|
0 f
|
|
UTM
|
NA
|
