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Sample Record for 2023-05-03-6

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Project Information

Project ID: 993279 DEA: 010E0904 EFIS: 0113000123 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-20-33.3/34.4
Work Description: CONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310)
Location Description: MENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144
Contractor Name: Myers & Sons Construction LLC
Contractor Address: 4600 Northgate Blvd, Suite 100, Sacramento, CA 95838
Resident Engineer: Geoffrey Wright Structure Rep.: Kari Forbes

Sample Information

DIME Sample ID: 2023-05-03-6
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 05/03/2023
Date that the sample was received by the laboratory/organization performing the testing: 05/05/2023
The quantity of what the sample constitutes: 94
A brief description of the sample: #10 Headed rebar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: Russian River OH
The fabricator/manufacturer/facility name: CMC Rebar Fresno

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 6039367
Head Manufacturer Lot Number(s): 942-HT
Rebar Size: #10
Headed Bar Model Name: HRC 555
Size of Head: Reduced Size - 4x
Head Connection Type: Forged
Head Shape: Circular
Rebar Manufacturer: CMC
Head Manufacturer: CMC HRC
Head Fabricator: CMC Fresno
Material Standard Code: ASTM A706
Headed Bar Unique ID: 4FG-17-01

Test Results

Test 1 of 3

DIME Test ID: 2023-05-03-6-1
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/12/2023
Date Tested: 05/08/2023
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
21.2712298296836Ok Neckingrmacias
Temperature 72 f
UTM 400kip

Test 2 of 3

DIME Test ID: 2023-05-03-6-2
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/12/2023
Date Tested: 05/08/2023
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
21.2712345997211Ok Neckingrmacias
Temperature 72 f
UTM 400kip

Test 3 of 3

DIME Test ID: 2023-05-03-6-3
Test Method: ASTM A970-18: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 05/12/2023
Date Tested: 05/08/2023
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
21.2712265896581Ok Neckingrmacias
Temperature 72 f
UTM 400kip