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Sample Record for 2017-06-14-11

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 209708 DEA: 04235524 EFIS: 0412000496 COOP: 042536,042616 QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-92,82-R11.2/10.5
Work Description: IMPROVEMENTS TO THE STATE ROUTE (SR) 92/EL CAMINO REAL (SR82) INTERCHANGE
Location Description: IN THE CITY OF SAN MATEO
Contractor Name: GHILOTTI CONSTRUCTION COMPANY
Contractor Address: 2301 Kerner Blvd Ste. E, San Rafael, CA 94901
Resident Engineer: Doug Inori Structure Rep.: jordan jarosz

Sample Information

DIME Sample ID: 2017-06-14-11
TL Number from the TL Form: C703737
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 06/14/2017
Date that the sample was received by the laboratory/organization performing the testing: 06/16/2017
The quantity of what the sample constitutes: 4
A brief description of the sample: Headed Bars
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Harris Salinas

Material Information

Production or Authorization Testing: Authorization Testing
Rebar Heat Number(s): SE17100456
Head Manufacturer Lot Number(s): T09
Rebar Size: 8
Headed Bar Model Name: Bartec
Size of Head: Reduced Size - 4x
Head Connection Type: Threaded
Head Shape: Circular
Rebar Manufacturer: Nucor
Head Manufacturer: Dextra America
Head Fabricator: Dextra America
Material Standard Code: ASTM A706

Test Results

Test 1 of 3

DIME Test ID: 2017-06-14-11-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/20/2017
Date Tested: 06/19/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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
T090.797325092720Bar BrokeBrian
Temperature 72 F
UTM 400KIP

Test 2 of 3

DIME Test ID: 2017-06-14-11-2
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/20/2017
Date Tested: 06/19/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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
T090.797322092680Bar BrokeBrian
Temperature 72 F
UTM 400KIP

Test 3 of 3

DIME Test ID: 2017-06-14-11-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 06/20/2017
Date Tested: 06/19/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
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
T090.797300092410Bar BrokeBrian
Temperature 72 F
UTM 400KIP

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.