Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000555 DEA: 101T4304 EFIS: 1024000258
QA Service Level: 1
DIST-CO-RTE-PM: 10---
Work Description:
Location Description:
Contractor Name: MYERS AND SONS CONSTRUCTION, LLC
Contractor Address: 45 Morrison Ave, Sacramento, CA 95838
Resident Engineer: Zubair Anwar Structure Rep.: Unknown
DIME Sample ID: 2024-09-20-10
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Verification
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 09/20/2024
Date that the sample was received by the laboratory/organization performing the testing: 09/25/2024
The quantity of what the sample constitutes: 4
A brief description of the sample: Double Barrel ZAP Screwlok Standard Coupler - Operator Pre-Qualification - Santiago Herrera
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
Service or Ultimate: Service
Material Standard Code: ASTM A615
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: BarSplice Products Inc
Intermediate Assembler or Fabricator:
Rebar Size: #5
Coupler Model: Double Barrel ZAP Screwlok Standard Coupler
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 3354
Rebar Heat Number(s): 3500039115
Rebar Size 2 : 5
Coupler Unique ID: SB-17-02
DIME Test ID: 2024-09-20-10-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 10/01/2024
Date Tested: 10/01/2024
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: Service Splice
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 0 | 5 | 1 | 0 | 0.31 | 28744 | 92724 | Service Splice | aauvinen |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
small
|
DIME Test ID: 2024-09-20-10-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 10/01/2024
Date Tested: 10/01/2024
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: Service Splice
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 2 | 0 | 5 | 1 | 0 | 0.31 | 29161 | 94068 | Service Splice | aauvinen |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
small
|
DIME Test ID: 2024-09-20-10-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 10/01/2024
Date Tested: 10/01/2024
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: Service Splice
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 3 | 0 | 5 | 1 | 0 | 0.31 | 29225 | 94273 | Service Splice | aauvinen |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
small
|
