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Sample Record for 2020-05-21-7

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

Project Information

Project ID: 213569 DEA: 024F2104 EFIS: 0212000072 QA Service Level: 1
DIST-CO-RTE-PM: 02-MOD-299-0.5/1.0
Work Description: Butte and Ash Creek Bridge Replacement
Location Description: Construction of Butte Creek Bridge and Ash Creek Bridge on Route 299 at Adin
Contractor Name: WEST COAST CONTRACTORS
Contractor Address: 61050 Highway 101, Coos Bay, Oregon 97420
Resident Engineer: Mike Zdenek Structure Rep.: Ryan G Duran

Sample Information

DIME Sample ID: 2020-05-21-7
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Acceptance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 05/21/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/22/2020
The quantity of what the sample constitutes: 17
A brief description of the sample: #4 Button Heads
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Camblin

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 1064317
Head Manufacturer Lot Number(s): A163671
Rebar Size: #4
Headed Bar Model Name: BNX
Size of Head: Full Size - 9x
Head Connection Type: Crimped Head
Head Shape: Circular
Rebar Manufacturer: CMC
Head Manufacturer: Barsplice
Head Fabricator: Barsplice BNX Buttonheads
Material Standard Code: ASTM A706

Test Results

Test 1 of 3

DIME Test ID: 2020-05-21-7-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/22/2020
Date Tested: 05/22/2020
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: 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
10.220767103837OK Neckingfsaylor
Temperature 72 f
UTM 400kip

Test 2 of 3

DIME Test ID: 2020-05-21-7-2
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/22/2020
Date Tested: 05/22/2020
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: 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
10.220749103747OK Neckingfsaylor
Temperature 72 f
UTM 400kip

Test 3 of 3

DIME Test ID: 2020-05-21-7-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/22/2020
Date Tested: 05/22/2020
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: 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
10.220549102744OK Neckingfsaylor
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.