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Sample Record for 2022-09-01-12

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Project Information

Project ID: 212720 DEA: 07291404 EFIS: 0712000094 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-1-55-58
Work Description: TRANCAS CREEK BRIDGE REPLACEMENT
Location Description: IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027).
Contractor Name: STACY AND WITBECK, INC.
Contractor Address: 3939 Atlantic Ave Suite 114, Long Beach, CA 90807
Resident Engineer: Dan Leon Structure Rep.: Frank Lofti

Sample Information

DIME Sample ID: 2022-09-01-12
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: 09/01/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/08/2022
The quantity of what the sample constitutes: 14
A brief description of the sample: #11 HRC 120 T-head
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): 3115873
Head Manufacturer Lot Number(s): 1
Rebar Size: #11
Headed Bar Model Name: HRC 120 T Heads
Size of Head: Reduced Size - 4x
Head Connection Type: Friction Weld
Head Shape: Square
Rebar Manufacturer: CMC Steel Texas
Head Manufacturer: Nucor Utah
Head Fabricator: HRC Fountain Valley
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: 2022-09-01-12-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 09/15/2022
Date Tested: 09/15/2022
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
11.56143149.4891762ok neckingspaine
Temperature 72 f
UTM 450kip

Test 2 of 3

DIME Test ID: 2022-09-01-12-2
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 09/15/2022
Date Tested: 09/15/2022
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
11.56140697.9990191ok neckingspaine
Temperature 72 f
UTM 450kip

Test 3 of 3

DIME Test ID: 2022-09-01-12-3
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 09/15/2022
Date Tested: 09/15/2022
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
11.56142204.1691157ok neckingspaine
Temperature 72 f
UTM 450kip