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Sample Record for 2021-04-18-1

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Project Information

Project ID: 214841 DEA: 034H1004 EFIS: 0318000176 QA Service Level: 1
DIST-CO-RTE-PM: 03-SIE-49-9.2/24.7
Work Description: INSTALL RETAINING STRUCTURE AND RSP CONCRETE EMBANKMENT.
Location Description: SIERRA COUNTY ON ROUTE 49 AT VARIOUS LOCATIONS
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507
Resident Engineer: Christopher Fallbeck Structure Rep.: Jimmer Ross

Sample Information

DIME Sample ID: 2021-04-18-1
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: 04/18/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/22/2021
The quantity of what the sample constitutes: (4) #6 HRC 555 Reduced Size
A brief description of the sample: #6 HRC 555 Reduced Size
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Steel Group

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 1202029290
Head Manufacturer Lot Number(s): Lot 1
Rebar Size: #6
Headed Bar Model Name: HRC Type 555
Size of Head: Reduced Size - 4x
Head Connection Type: Forged
Head Shape: Circular
Rebar Manufacturer: Nucor
Head Manufacturer: HRC
Head Fabricator: Pacific Steel Group
Material Standard Code: ASTM A706
Headed Bar Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2021-04-18-1-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/26/2021
Date Tested: 04/23/2021
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: 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
10.444208195640Ok Neckingbewing
Temperature 72 f
UTM 400kip

Test 2 of 3

DIME Test ID: 2021-04-18-1-2
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/26/2021
Date Tested: 04/23/2021
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: 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
10.444195895359Ok Neckingbewing
Temperature 72 f
UTM 400kip

Test 3 of 3

DIME Test ID: 2021-04-18-1-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/26/2021
Date Tested: 04/23/2021
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: 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
10.444204795562Ok Neckingbewing
Temperature 72 f
UTM 400kip