Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000696 DEA: 061H3304 EFIS: 0625000036
QA Service Level: 1
DIST-CO-RTE-PM: 06---
Work Description:
Location Description:
Contractor Name: Chapco Construction
Contractor Address: 6000 Mortono Street, Sacramento, CA 95828
Resident Engineer: Jesse Carpenter Structure Rep.: Martin Garcia
DIME Sample ID: 2024-10-17-58
TL Number from the TL Form:
Sample Submitted By Organization: Kleinfelder, Incorporated - Sacramento
Sample Organization Contact: (916) 308-3701
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 10/17/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2024
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: #10 D250L Coupler
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier: 42-0171
Structure name: Toulumne Street OC
The fabricator/manufacturer/facility name: Chapco Yard
Production or Authorization Testing: Authorization Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor Steel
Coupler Manufacturer: Dayton Superior
Intermediate Assembler or Fabricator:
Rebar Size: #10
Coupler Model: D250L
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 189153
Rebar Heat Number(s): A210913
Rebar Size 2 :
Coupler Unique ID: SL-17-06
DIME Test ID: 2024-10-17-58-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 10/30/2024
Date Tested: 10/29/2024
Submitted By Organization: Kleinfelder, Incorporated - Sacramento
Organization Address: 9969 Horn Road,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95827
Organization Email: jslinkard@kleinfelder.com
Organization Phone: (916) 308-3701
General Comments for this Test: Service
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
4
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Slip (inch) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 189153 | 10 | 1.27 | 0.008 | 113330 | 89000 | na | KD | | 2 | 189153 | 10 | 1.27 | 0 | 114160 | 90000 | na | KD | | 3 | 189153 | 10 | 1.27 | 0 | 114370 | 90000 | na | KD | | 4 | 189153 | 10 | 1.27 | 0 | 117570 | 92500 | na | KD |
| |
|
Temperature
|
72 f
|
|
UTM
|
NA
|
|
Halo ID
|
0
|
