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Sample Record for 2024-11-22-8

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

Project Information

Project ID: 994326 DEA: 051C3604 EFIS: 0512000134 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-217-0.9/1.4
Work Description: REPLACE BRIDGE.
Location Description: SANTA BARBARA COUNTY NEAR GOLETA FROM 0.2 MILE EAST OF GOLETA SLOUGH BRIDGE TO 0.4 MILE EAST OF SAN JOSE CREEK BRIDGE
Contractor Name: MCM CONSTRUCTION
Contractor Address: 6413 32nd Street, North Highlands, Ca 95660
Resident Engineer: Manny Yogarajah Structure Rep.: Fabian Velasco

Sample Information

DIME Sample ID: 2024-11-22-8
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 11/22/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/27/2024
The quantity of what the sample constitutes: 8
A brief description of the sample: #9 HRC 500/510
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Integrity Rebar Placers

Material Information

Production or Authorization Testing: Authorization Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Cascade Steel
Coupler Manufacturer: Headed Reinforcement Corporation Fountain Val
Intermediate Assembler or Fabricator:
Rebar Size: #9
Coupler Model: HRC 500-510
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): A224297/A232690
Rebar Heat Number(s): 388922
Rebar Size 2 :
Coupler Unique ID: TP-17-03

Test Results

Test 1 of 3

DIME Test ID: 2024-11-22-8-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Necking)
Verified Date: 12/06/2024
Date Tested: 12/02/2024
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Necking Test Option Necking Test Option I
Shape of the Sample Straight Sample
Sample 1 Visible Necking? Yes
Sample 1 Location of Fracture? Rebar
Sample 2 Visible Necking? Yes
Sample 2 Location of Fracture? Rebar
Sample 3 Visible Necking? Yes
Sample 3 Location of Fracture? Rebar
Sample 4 Visible Necking? Yes
Sample 4 Location of Fracture? Rebar

Test 2 of 3

DIME Test ID: 2024-11-22-8-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Slip)
Verified Date: 12/06/2024
Date Tested: 12/02/2024
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Sample 1 Total Slip 0.014 in
Sample 2 Total Slip no data0 in
Sample 3 Total Slip no data0 in
Sample 4 Total Slip no data0 in

Test 3 of 3

DIME Test ID: 2024-11-22-8-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 12/06/2024
Date Tested: 12/02/2024
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 4
SampleMfg. Lot Number(s)SizeArea (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
1L159-196-2491.00102260102260Atlas Technical ConsultantsMiguel Baltazar
2L159-194-2491.00102180102180Atlas Technical ConsultantsMiguel Baltazar
3L159-194-2491.00101870101870Atlas technical ConsultantsMiguel Baltazar
4L159-194-2491.00101390101390Atlas Technical ConsultantsMiguel Baltazar
UTM NA
Temperature 000 f