Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 215617 DEA: 101N2004 EFIS: 1021000104
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-5-45.86, 45.86
Work Description: Emergency Bridge Rehabilitation at Beaver Slough
Location Description:
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. Box 1508, Rancho Cordova, CA 95741
Resident Engineer: Ariel Mendoza Structure Rep.: Darwin Vargas
DIME Sample ID: 2021-04-08-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 04/08/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/12/2021
The quantity of what the sample constitutes: 150
A brief description of the sample: #8 Heade Rebar
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Camblin Steel
Production or Authorization Testing: Authorization Testing
Rebar Heat Number(s): 4104502
Head Manufacturer Lot Number(s): N/A
Rebar Size: #8
Headed Bar Model Name: HRC 555
Size of Head: Full Size - 9x
Head Connection Type: Forged
Head Shape: Circular
Rebar Manufacturer: CMC Steel Arizona
Head Manufacturer: HRC
Head Fabricator: HRC
Material Standard Code: ASTM A706
Headed Bar Unique ID:
DIME Test ID: 2021-04-08-1-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/13/2021
Date Tested: 04/12/2021
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:
Test Result Compliance:
Additional Comments When Verified:
Number of Headed Bar Samples
|
1
|
Lot # | Area (sqin) | Peak Load (lbf) | Tensile Strength (psi) | Comments | Tested By | 1 | 0.79 | 80588 | 102010 | OK Necking | fsaylor |
| |
Temperature
|
72 f
|
UTM
|
400KIP
|
DIME Test ID: 2021-04-08-1-2
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/13/2021
Date Tested: 04/12/2021
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) | Comments | Tested By | 1 | 0.79 | 80837 | 102325 | OK Necking | fsaylor |
| |
Temperature
|
72 f
|
UTM
|
400kip
|
DIME Test ID: 2021-04-08-1-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 04/13/2021
Date Tested: 04/12/2021
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) | Comments | Tested By | 1 | 0.79 | 80315 | 101665 | OK Necking | fsaylor |
| |
Temperature
|
72 f
|
UTM
|
400kip
|