Sample Record for 2021-12-06-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 213099 DEA: 041A6614 EFIS: 0415000291 COOP: 042683A1
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-8.4
Work Description: CONSTRUCTION ON STATE HIGHWAY IN MARIN COUNTY IN LARKSPUR
Location Description:
Contractor Name: Disney Construction
Contractor Address: 533 airport Blvd, Suite 120, Burlingame, CA 94010
Resident Engineer: Steven Russell Structure Rep.: Long Ly
Sample Information
DIME Sample ID: 2021-12-06-2
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: 12/06/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/08/2021
The quantity of what the sample constitutes: 4 of 16
A brief description of the sample: #8 HRC 120 X 13'-2"
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC Fountain Valley
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 4112178
Head Manufacturer Lot Number(s): LOT 1
Rebar Size: #8
Headed Bar Model Name: HRC 120
Size of Head: Full Size - 9x
Head Connection Type: Friction Weld
Head Shape: Square
Rebar Manufacturer: CMC Rebar
Head Manufacturer: NUCOR HEAT No 10010900121
Head Fabricator: HRC
Material Standard Code: ASTM A706
Headed Bar Unique ID:
Test Results
Test 1 of 3
DIME Test ID: 2021-12-06-2-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 12/10/2021
Date Tested: 12/09/2021
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 | 0.79 | 78283 | 99092 | ok necking | spaine |
| |
Temperature
|
72 f
|
UTM
|
400kip
|
Test 2 of 3
DIME Test ID: 2021-12-06-2-2
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 12/10/2021
Date Tested: 12/09/2021
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 | 0.79 | 78153 | 98928 | ok necking | spaine |
| |
Temperature
|
72 f
|
UTM
|
400kip
|
Test 3 of 3
DIME Test ID: 2021-12-06-2-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 12/10/2021
Date Tested: 12/09/2021
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 | 0.79 | 78367 | 99199 | ok necking | spaine |
| |
Temperature
|
72 f
|
UTM
|
400kip
|