Sample Record for 2022-11-16-4
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993118 DEA: 101C3304 EFIS: 1014000146
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-205-R4.6/R9.0
Work Description: Widening bridges, ramps and roadway. SR205 SMART CORRIDOR - PHASE 2
Location Description: On state highway in San Joaquin County in and near Tracy from Janney Overhead to 1.3 miles east of MacArthur Drive Overcrossing.
Contractor Name: Bay Cities Paving & Grading Inc.
Contractor Address: 1450 Civic Ct., Bldg B #400, Concord, CA 94520
Resident Engineer: Chris Hanson Structure Rep.: Ron Matin
Sample Information
DIME Sample ID: 2022-11-16-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Acceptance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 11/16/2022
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 24
A brief description of the sample: #9 HRC 555
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Tracy
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 3118276
Head Manufacturer Lot Number(s): 3118276
Rebar Size: #9
Headed Bar Model Name: hrc 555
Size of Head: Reduced Size - 4x
Head Connection Type: Forged
Head Shape: Circular
Rebar Manufacturer: cmc
Head Manufacturer: hrc
Head Fabricator: cmc tracy
Material Standard Code: ASTM A706
Headed Bar Unique ID: 4FG-17-01
Test Results
Test 1 of 3
DIME Test ID: 2022-11-16-4-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
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
Data has not been verified.
Test 2 of 3
DIME Test ID: 2022-11-16-4-2
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
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
Data has not been verified.
Test 3 of 3
DIME Test ID: 2022-11-16-4-3
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
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
Data has not been verified.
