Sample Record for 2021-02-03-4
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213653 DEA: 044G8204 EFIS: 0413000049
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-10.6/10.8
Work Description: REPLACE SAN RAFAEL HARBOR BRIDGE (ABC)
Location Description: MARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET
Contractor Name: Gordon N. Ball
Contractor Address: 333 Camille Ave., Alamo, CA 94507
Resident Engineer: Dawit Habteselassie Structure Rep.: Long N Ly
Sample Information
DIME Sample ID: 2021-02-03-4
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: 02/03/2021
Date that the sample was received by the laboratory/organization performing the testing: 02/04/2021
The quantity of what the sample constitutes: 4 Headed Bars from lot 1
A brief description of the sample: #6 button headed bar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Camblin Steel Service
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 6019603
Head Manufacturer Lot Number(s): 13G2
Rebar Size: #6
Headed Bar Model Name: BNX Buttonhead
Size of Head: Full Size - 9x
Head Connection Type: Forged
Head Shape: Circular
Rebar Manufacturer: CMC Steel California
Head Manufacturer: Bar Splice Products
Head Fabricator: Bar Splice
Material Standard Code: ASTM A706
Headed Bar Unique ID:
Test Results
Test 1 of 3
DIME Test ID: 2021-02-03-4-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 02/04/2021
Date Tested: 02/04/2021
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test: OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Headed Bar Samples
|
1
|
| Lot # | Area (sqin) | Peak Load (lbf) | Tensile Strength (psi) | Comments | Tested By | | 1 | 0.44 | 47263 | 107416 | OK Necking | fsaylor |
| |
|
Temperature
|
72 f
|
|
UTM
|
400kip
|
Test 2 of 3
DIME Test ID: 2021-02-03-4-2
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 02/04/2021
Date Tested: 02/04/2021
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test: OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Headed Bar Samples
|
1
|
| Lot # | Area (sqin) | Peak Load (lbf) | Tensile Strength (psi) | Comments | Tested By | | 1 | 0.44 | 47426 | 107786 | OK Necking | fsaylor |
| |
|
Temperature
|
72 f
|
|
UTM
|
400kip
|
Test 3 of 3
DIME Test ID: 2021-02-03-4-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 02/04/2021
Date Tested: 02/04/2021
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: joshua.moore@dot.ca.gov
Organization Phone: (530) 329-6527
General Comments for this Test: OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Headed Bar Samples
|
1
|
| Lot # | Area (sqin) | Peak Load (lbf) | Tensile Strength (psi) | Comments | Tested By | | 1 | 0.44 | 47357 | 107631 | OK Necking | fsaylor |
| |
|
Temperature
|
72 f
|
|
UTM
|
400kip
|
