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Testing Report for 2021-09-07-3-3

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

DEA: 032F5704
EFIS: 0300020615
Project ID: 215063
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-46.3/63.5
Work Description: Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay)
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Tad Sampson
Structure Rep.: Jimmer Ross

Sample Information

DIME Sample ID: 2021-09-07-3
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 9/7/2021
Date that the sample was received by the laboratory/organization performing the testing: 9/14/2021
The quantity of what the sample constitutes: Lot 2 of 2(280) #5 HRC 120 2'-4"
A brief description of the sample: (280) #5 HRC 120 2'-4"
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Headed Reinforcement Corp

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 4108030
Head Manufacturer Lot Number(s): Lot 2
Rebar Size: #5
Headed Bar Model Name: HRC 120 T Heads
Size of Head: Full Size - 9x
Head Connection Type: Friction Weld
Head Shape: Circular
Rebar Manufacturer: CMC
Head Manufacturer: HRC Fountain Valley
Head Fabricator: HRC Fountain Valley
Material Standard Code: ASTM A706

Test Information

DIME Test ID: 2021-09-07-3-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Date Tested: 9/13/2021
Verified Date: 9/14/2021
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email:
Organization Phone: (916) 227-7253
General Comments for this Test: OK Necking
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

Number of Headed Bar Samples: 1
Lot # Area (sqin) Peak Load (lbf) Tensile Strength (psi) Comments Tested By
2 0.31 30312 97781 OK Necking fsaylor
Temperature: 72 f
UTM: 400kip