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Sample Record for 2024-11-13-66

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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: 2024-11-13-66
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: 11/13/2024
Date that the sample was received by the laboratory/organization performing the testing: 11/20/2024
The quantity of what the sample constitutes: 600
A brief description of the sample: HRC 500/510 coupler Lot 1 and Lot 4
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Integrity Rebar

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Cascade
Coupler Manufacturer: HRC
Intermediate Assembler or Fabricator: Integrity Rebar Placers
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): HRC500 A224297 HRC510 A232690
Rebar Heat Number(s): 388922
Rebar Size 2 : 9
Coupler Unique ID: TP-17-03

Test Results

Test 1 of 2

DIME Test ID: 2024-11-13-66-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 11/25/2024
Date Tested: 11/25/2024
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:
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 4
SampleMfg. Lot Number(s)SizeArea (sqin)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
11910.007102460102000naMK
21910.007102080102000naMK
31910.007101370101000naMK
41910.007102450102000naMK
Temperature 72 f
UTM NA
Halo ID na

Test 2 of 2

DIME Test ID: 2024-11-13-66-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 11/25/2024
Date Tested: 11/25/2024
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:
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 4
SampleMfg. Lot Number(s)SizeArea (sqin)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
14910.012102190102000naMK
24910103360103000naMK
34910102870103000naMK
44910102760103000naMK
Temperature 72 f
UTM NA
Halo ID na