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Sample Record for 2021-02-04-1

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Project Information

Project ID: 212571 DEA: 051F79A4 EFIS: 0514000061 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-55.9/R56.2
Work Description: Nojoqui Creek Bridge (51-0018 L/R) widening and rail replacement.
Location Description: IN SANTA BARBARA COUNTY NEAR BUELLTON AT NOJOQUI CREEK BRIDGE (BR #51-0018 L/R)
Contractor Name: SOUZA CONSTRUCTION
Contractor Address: 4027 Santa Fe Road, San Luis Obispo, CA 93403
Resident Engineer: David Cooper Structure Rep.: Sal Heredia

Sample Information

DIME Sample ID: 2021-02-04-1
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: 02/04/2021
Date that the sample was received by the laboratory/organization performing the testing: 02/05/2021
The quantity of what the sample constitutes: 24
A brief description of the sample: HRC 555 End Anchors
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: NOJOQUI Creek Bridge
The fabricator/manufacturer/facility name: PJ

Material Information

Production or Authorization Testing: Authorization Testing
Rebar Heat Number(s): 4081620
Head Manufacturer Lot Number(s): Lot 1
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: PJ
Head Fabricator: PJ
Material Standard Code: ASTM A706
Headed Bar Unique ID:

Test Results

Test 1 of 4

DIME Test ID: 2021-02-04-1-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 02/08/2021
Date Tested: 02/05/2021
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
119891098910OK Neckingfsaylor
Temperature 72 f
UTM 400kip

Test 2 of 4

DIME Test ID: 2021-02-04-1-2
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 02/08/2021
Date Tested: 02/05/2021
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
119996199961OK Neckingfsaylor
Temperature 72 f
UTM 400kip

Test 3 of 4

DIME Test ID: 2021-02-04-1-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 02/08/2021
Date Tested: 02/05/2021
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: Head Broke OFF
Test Result Compliance:
Additional Comments When Verified:
Number of Headed Bar Samples 1
Lot #Area (sqin)Peak Load (lbf)Tensile Strength (psi)CommentsTested By
119601796017Head Broke OFFfsaylor
Temperature 72 f
UTM 400kip

Test 4 of 4

DIME Test ID: 2021-02-04-1-4
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 02/08/2021
Date Tested: 02/05/2021
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
119768497684OK Neckingfsaylor
Temperature 72 f
UTM 400kip