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Sample Record for 2019-08-07-1

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Project Information

Project ID: 212501 DEA: 022E4804 EFIS: 0200000586 QA Service Level: 1
DIST-CO-RTE-PM: 02-SIS-96,263-103.1/103.6,56.8/57.2
Work Description: BRIDGE REPLACEMENT
Location Description: SISKIYOU COUNTY ABOUT 8 MILES NORTH OF YREKA ON ROUTE 96 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 263 AND ON ROUTE 263 FROM 0.3 MILE NORTH OF SHASTA RIVER BRIDGE #02-0014 TO ROUTE 96
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Nicole Mallory Structure Rep.: Andy O'Sullevan

Sample Information

DIME Sample ID: 2019-08-07-1
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: 08/07/2019
Date that the sample was received by the laboratory/organization performing the testing: 08/09/2019
The quantity of what the sample constitutes: good
A brief description of the sample: Bartec End Anchors
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 47-sis
Structure name:
The fabricator/manufacturer/facility name: Pacific Steel Goup

Material Information

Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 3500004804
Head Manufacturer Lot Number(s): 5044
Rebar Size: 10
Headed Bar Model Name: Bartec
Size of Head: Full Size - 9x
Head Connection Type: Threaded
Head Shape: Circular
Rebar Manufacturer: Nucor
Head Manufacturer: Dextra America
Head Fabricator: Dextra America
Material Standard Code: ASTM A706
Headed Bar Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2019-08-07-1-1
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/13/2019
Date Tested: 08/12/2019
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: Bar Broke; 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
T021.2712038094790Bar BrokeBrian
Temperature 72 F
UTM 400KIP

Test 2 of 3

DIME Test ID: 2019-08-07-1-2
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/13/2019
Date Tested: 08/12/2019
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: Bar Broke; 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
T021.2712006094540Bar BrokeBrian
Temperature 72 F
UTM 400KIP

Test 3 of 3

DIME Test ID: 2019-08-07-1-3
Test Method: ASTM A970-15e1: Standard Specification for Headed Steel Bars for Concrete Reinforcement (Tensile)
Verified Date: 08/13/2019
Date Tested: 08/12/2019
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: Bar Broke; 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
T021.2712090095200Bar BrokeBrian
Temperature 72 F
UTM 400KIP