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Sample Record for 2023-03-31-2

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Project Information

Project ID: 214469 DEA: 030H08U4 EFIS: 0319000029 QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-50-L0.2/R6.1
Work Description: Sac 50 Design Build PLEASE NOTE THAT DESIGN BUILDER MUST PERFORM QUALITY VALIDATION TESTING IN ACCORDANCE WITH THE MATERIAL CONTROL SCHEDULE (MCS) FOR ITEMS SUCH AS STRANDS, HS BOLTS, ELASTOMERIC BEARING PADS, JOINT SEALANTS, COUPLERS & WELDED HOOPS, ETC
Location Description: FROM 0.1 MILE EAST OF I-5 TO 0.8 MILE EAST OF WATT AVE
Contractor Name: FLATIRON WEST INC
Contractor Address: 2100 Goodyear Rd., Benicia, CA 94510
Resident Engineer: Jim Rogers Structure Rep.: Daniel Eggers

Sample Information

DIME Sample ID: 2023-03-31-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Verification
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 03/31/2023
Date that the sample was received by the laboratory/organization performing the testing: 03/31/2023
The quantity of what the sample constitutes: 1 Lot of 1
A brief description of the sample: #6 10A grip twist with doughnut
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: Br 11 - Elmhurst - Hng 1 - Upper Hng End Prep
The fabricator/manufacturer/facility name: Martinez Steel

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 482922
Head Manufacturer Lot Number(s): S6-01
Rebar Size: #6
Headed Bar Model Name: Taper Threaded DoughNUT Termination System
Size of Head: Full Size - 9x
Head Connection Type: Taper Threaded
Head Shape: Circular
Rebar Manufacturer: Cascade
Head Manufacturer: Barsplice
Head Fabricator: Barsplice
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9TT-17-01

Test Results

Test 1 of 3

DIME Test ID: 2023-03-31-2-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/11/2023
Date Tested: 04/05/2023
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
10.4444102100231Ok Neckingrmacias
Temperature 72 f
UTM 400kip

Test 2 of 3

DIME Test ID: 2023-03-31-2-2
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/11/2023
Date Tested: 04/05/2023
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
10.4445117102539Ok Neckingrmacias
Temperature 72 f
UTM 400kip

Test 3 of 3

DIME Test ID: 2023-03-31-2-3
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/11/2023
Date Tested: 04/05/2023
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
10.444333898495Ok Neckingrmacias
Temperature 72 f
UTM 400kip