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Sample Record for 2026-07-06-4

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Project Information

Project ID: 993678 DEA: 042Q8004 EFIS: 0419000050 COOP: 042836,042944 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4
Work Description: US 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA.
Location Description:
Contractor Name: GORDON N. BALL, INC.
Contractor Address: 333 CAMILLE AVENUE, ALAMO, CA 94507
Resident Engineer: Mohamed Fouad Structure Rep.: Bryan Nagid

Sample Information

DIME Sample ID: 2026-07-06-4
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: 07/06/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/13/2026
The quantity of what the sample constitutes: 11
A brief description of the sample: #11 T-head
From where was the sample collected: Fabricator
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): 9005549
Head Manufacturer Lot Number(s): 100013306541
Rebar Size: #11
Headed Bar Model Name: HRC 120
Size of Head: Full Size - 9x
Head Connection Type:
Head Shape: Square
Rebar Manufacturer: CMC Steel Arizona
Head Manufacturer: Nucor Utah
Head Fabricator: HRC
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9FW-17-03

Test Results

Test

DIME Test ID: 2026-07-06-4-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 07/22/2026
Date Tested: 07/22/2026
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)CommentsTested By
11.5615282098000Ok NeckingKleinfelder
11.5614772094500Ok NeckingKleinfelder
11.5614755094500Ok NeckingKleinfelder
11.5615303098000Ok NeckingKleinfelder
Temperature 0 f
UTM NA