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Sample Record for 2017-04-21-2

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Project Information

Project ID: 211513 DEA: 120M4904 EFIS: 1212000090 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-1.2/2.2
Work Description: WIDEN FWY AND BRIDGE AND CONSTRUCT RW, SOUND WALL, AND CONC BARRIERS.
Location Description: ORANGE COUNTY IN SAN CLEMENTE FROM 0.1 MILE NORTH OF AVENIDA MENDOCINO OVERCROSSING TO 0.2 MILE SOUTH OF AVENIDA PRESIDIO UNDERCROSSING
Contractor Name: POWELL CONSTRUCTORS, INC.
Contractor Address: 8555 Banana Ave, Fontana, CA 92335
Resident Engineer: Steve Kinaly Structure Rep.: Imad Karam

Sample Information

DIME Sample ID: 2017-04-21-2
TL Number from the TL Form: C943834
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 04/21/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/24/2017
The quantity of what the sample constitutes: 4
A brief description of the sample: Headed Bars
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC HRC

Material Information

Production or Authorization Testing: Retest
Rebar Heat Number(s): 4061558
Head Manufacturer Lot Number(s): 1
Rebar Size: 9
Headed Bar Model Name: HRC 120
Size of Head: Reduced Size - 4x
Head Connection Type: Friction Weld
Head Shape: Square
Rebar Manufacturer: CMC
Head Manufacturer: HRC
Head Fabricator: HRC
Material Standard Code: ASTM A706
Headed Bar Unique ID:

Test Results

Test 1 of 4

DIME Test ID: 2017-04-21-2-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/25/2017
Date Tested: 04/24/2017
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
Number of Headed Bar Samples 1
Lot #Area (sqin)Peak Load (lbf)Tensile Strength (psi)CommentsTested By
119750097500Bar BrokeBrian
Temperature 71 F
UTM 2000KIP

Test 2 of 4

DIME Test ID: 2017-04-21-2-2
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/25/2017
Date Tested: 04/24/2017
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
Number of Headed Bar Samples 1
Lot #Area (sqin)Peak Load (lbf)Tensile Strength (psi)CommentsTested By
119735097350Bar BrokeBrian
Temperature 71 F
UTM 2000KIP

Test 3 of 4

DIME Test ID: 2017-04-21-2-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/25/2017
Date Tested: 04/24/2017
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
Number of Headed Bar Samples 1
Lot #Area (sqin)Peak Load (lbf)Tensile Strength (psi)CommentsTested By
119755097550Bar BrokeBrian
Temperature 71 F
UTM 2000KIP

Test 4 of 4

DIME Test ID: 2017-04-21-2-4
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/25/2017
Date Tested: 04/24/2017
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
Number of Headed Bar Samples 1
Lot #Area (sqin)Peak Load (lbf)Tensile Strength (psi)CommentsTested By
119350093500Bar BrokeBrian
Temperature 71 F
UTM 2000KIP