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Sample Record for 2022-05-06-3

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Project Information

Project ID: 214988 DEA: 050L7214 EFIS: 0515000097 QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO-1-32.6
Work Description: REMOVE & CONSTRUCT CONCRETE BRIDGE, CONCRETE SLAB, BRIDGE RAIL & HMA.
Location Description: SAN LUIS OBISPO COUNTY IN MORRO BAY AT TORO CREEK BRIDGE
Contractor Name: Souza Engineering Contracting, Inc
Contractor Address: 4027 SANTA FE ROAD, SAN LUIS OBISPO CA 93401
Resident Engineer: Rick Silva Structure Rep.: Salvador Heredia

Sample Information

DIME Sample ID: 2022-05-06-3
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: 05/06/2022
Date that the sample was received by the laboratory/organization performing the testing: 05/09/2022
The quantity of what the sample constitutes: 156 Headed Bars Lot 1-2
A brief description of the sample: #10 HRC 150 T-Headed bars
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC Fountain Valley

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 4114532
Head Manufacturer Lot Number(s): MM20103137
Rebar Size: #10
Headed Bar Model Name: HRC 150 T Heads
Size of Head: Full Size - 9x
Head Connection Type: Friction Weld
Head Shape: Circular
Rebar Manufacturer: CMC Steel Arizona
Head Manufacturer: HRC Fountain Valley
Head Fabricator: HRC Fountain Valley
Material Standard Code: ASTM A706
Headed Bar Unique ID:

Test Results

Test 1 of 6

DIME Test ID: 2022-05-06-3-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/11/2022
Date Tested: 05/10/2022
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
11.2711622591516Ok Neckingbewing
Temperature 72 f
UTM 400kip

Test 2 of 6

DIME Test ID: 2022-05-06-3-2
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/11/2022
Date Tested: 05/10/2022
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
11.2711610391420Ok Neckingbewing
Temperature 72 f
UTM 400kip

Test 3 of 6

DIME Test ID: 2022-05-06-3-3
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/11/2022
Date Tested: 05/10/2022
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
11.2711673791919Ok Neckingbewing
Temperature 72 f
UTM 400kip

Test 4 of 6

DIME Test ID: 2022-05-06-3-4
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/11/2022
Date Tested: 05/10/2022
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
21.2711696592099Ok Neckingbewing
Temperature 72 f
UTM 400kip

Test 5 of 6

DIME Test ID: 2022-05-06-3-5
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/11/2022
Date Tested: 05/10/2022
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
21.2711722392302Ok Neckingbewing
Temperature 72 f
UTM 400kip

Test 6 of 6

DIME Test ID: 2022-05-06-3-6
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/11/2022
Date Tested: 05/10/2022
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
21.2711669191882Ok Neckingbewing
Temperature 72 f
UTM 400kip