Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993253 DEA: 033F0604 EFIS: 0312000052
QA Service Level: 1
DIST-CO-RTE-PM: 03-GLE-162-76.3/78.6
Work Description:
Location Description:
Contractor Name: GOLDEN STATE BRIDGE
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Dustin Watts Structure Rep.: Matt Crete
DIME Sample ID: 2024-10-31-55
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Sacramento
Sample Organization Contact: (916) 308-3701
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 10/31/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/31/2024
The quantity of what the sample constitutes: 100
A brief description of the sample: HRC 555 #6 Double Headed Rebar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Rebar
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 4143115
Head Manufacturer Lot Number(s): 63
Rebar Size: #6
Headed Bar Model Name: HRC 555
Size of Head: Reduced Size - 4x
Head Connection Type: Forged
Head Shape: Circular
Rebar Manufacturer: CMC Steel Arizona
Head Manufacturer: HRC
Head Fabricator: Headed Reinforcement Corp
Material Standard Code: ASTM A706
Headed Bar Unique ID: 4FG-17-01
DIME Test ID: 2024-10-31-55-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 11/13/2024
Date Tested: 11/12/2024
Submitted By Organization: Kleinfelder, Incorporated - Sacramento
Organization Address: 9969 Horn Road,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95827
Organization Email: jslinkard@kleinfelder.com
Organization Phone: (916) 308-3701
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 | | 63 | 0.44 | 43420 | 98500 | na | MK | | 63 | 0.44 | 44200 | 100000 | na | MK | | 63 | 0.44 | 44860 | 102000 | na | MK | | 63 | 0.44 | 44070 | 100000 | na | MK |
| |
|
Temperature
|
72 f
|
|
UTM
|
NA
|
