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Sample Record for 2022-09-09-3

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Project Information

Project ID: 214640 DEA: 042J7204 EFIS: 0415000016 QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-580-1.17
Work Description: STEGE DRAIN SUPER-STRUCTURE, PRECAST VOIDED SLABS
Location Description: CONTRA COSTA COUNTY IN RICHMOND FROM 0.3 MILE EAST OF STEGE DRAIN BRIDGE TO 0.3 MILE WEST OF BAYVIEW AVENUE OVERCROSSING
Contractor Name: GORDON N BALL INC
Contractor Address: 333 CAMILLE AVENUE, ALAMO CA 94507
Resident Engineer: Luis Melendez Structure Rep.: Laraine Woo

Sample Information

DIME Sample ID: 2022-09-09-3
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: 09/09/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/14/2022
The quantity of what the sample constitutes: 10
A brief description of the sample: #11 HRC 120 T-Head
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 6028351
Head Manufacturer Lot Number(s): 100021479640
Rebar Size: #11
Headed Bar Model Name: 120
Size of Head: Full Size - 9x
Head Connection Type: Friction Weld
Head Shape: Square
Rebar Manufacturer: CMC
Head Manufacturer: HRC
Head Fabricator: HRC
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9FW-17-03
Test results on following page(s): 3

Test Results

Test 1 of 3

DIME Test ID: 2022-09-09-3-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 09/21/2022
Date Tested: 09/21/2022
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
11.5615207697485ok neckingspaine
Temperature 72 f
UTM 400kip

Test 2 of 3

DIME Test ID: 2022-09-09-3-2
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 09/21/2022
Date Tested: 09/21/2022
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
11.5615271397893ok neckingspaine
Temperature 72 f
UTM 400kip

Test 3 of 3

DIME Test ID: 2022-09-09-3-3
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 09/21/2022
Date Tested: 09/21/2022
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
11.5615254197783ok neckingspaine
Temperature 72 f
UTM 400kip