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Sample Record for 2019-10-08-1

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

Project Information

Project ID: 213477 DEA: 080H4704 EFIS: 0812000074 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-2-2.44
Work Description: WIDEN BRIDGE TO ACCOMMODATE STANDARD SHOULDERS
Location Description: AT WRIGHTWOOD AT SHEEP CREEK BRIDGE
Contractor Name: BEADOR CONSTRUCTION
Contractor Address: 26320 LESTER CIRCLE, CORONA, CA 92883
Resident Engineer: John Santos Structure Rep.: Md Rahman

Sample Information

DIME Sample ID: 2019-10-08-1
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: 10/08/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/10/2019
The quantity of what the sample constitutes: 16
A brief description of the sample: BPI Type BNX Button Head
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Camblin Steel

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 4087786
Head Manufacturer Lot Number(s): A177060
Rebar Size: 9
Headed Bar Model Name: BPI 09BNX
Size of Head: Full Size - 9x
Head Connection Type: Crimped Head
Head Shape: Circular
Rebar Manufacturer: CMC Arizona
Head Manufacturer: BarSplice Products
Head Fabricator: Camblin Steel
Material Standard Code: ASTM A706
Headed Bar Unique ID:
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2019-10-08-1-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 10/14/2019
Date Tested: 10/11/2019
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
119342193421Bar Broke, Ok Neckingbewing
Temperature 72 f
UTM 400kip

Test 2 of 3

DIME Test ID: 2019-10-08-1-2
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 10/14/2019
Date Tested: 10/11/2019
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
119312393123Bar Broke, Ok Neckingbewing
Temperature 72 f
UTM 400kip

Test 3 of 3

DIME Test ID: 2019-10-08-1-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 10/14/2019
Date Tested: 10/11/2019
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
119287592875Bar Broke, Ok Neckingbewing
Temperature 72 f
UTM 400kip