Project Information

Project ID: 994875 DEA: 101F1804 EFIS: 1016000077 QA Service Level: 1

DIST-CO-RTE-PM: 10-SJ-4-R16.0/R19.4

Work Description: BRIDGE WORK, CONCRETE BARRIER, AND INSTALL RAMP METER SYSTEM.

Location Description: SAN JOAQUIN COUNTY IN STOCKTON AT VARIOUS LOCATIONS FROM 0.3 MILE EAST OF ROUTE 4/5 SEPARATION TO 0.4 MILE WEST OF ROUTE 4/99 SEPARATION

Contractor Name: VIKING CONSTRUCTION COMPANY, INC.

Contractor Address: P.O. Box 1508, Rancho Cordova, CA 95741

Resident Engineer: Toafael Anwar Structure Rep.: Ron Matin

Sample Information

DIME Sample ID: 2024-11-27-4

TL Number from the TL Form:

Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory

Sample Organization Contact: (530) 329-6527

Type of Sample: Quality Assurance

Type of Material: SMTL TM5 - Couplers

Sample Taken Date: 11/27/2024

Date that the sample was received by the laboratory/organization performing the testing: 12/02/2024

The quantity of what the sample constitutes: 4

A brief description of the sample: Coupler

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: CMC

Material Information

Production or Authorization Testing: Production Testing

Service or Ultimate: Service

Material Standard Code: ASTM A706

Material Grade: 60

Rebar Manufacturer: CMC

Coupler Manufacturer: Eaton

Intermediate Assembler or Fabricator:

Rebar Size: #11

Coupler Model: Erico Lenton A2

Coating Standards: Uncoated

Shape of Rebar: Straight

Rebar Hoop Diameter:

Rebar Hoop Fabricator:

Coupler Component Heat/Lot Number(s): 9274, 8296225

Rebar Heat Number(s): 4111323

Rebar Size 2 :

Coupler Unique ID: ST-17-01

Test Results

Test 1 of 2

DIME Test ID: 2024-11-27-4-1

Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Necking)

Verified Date: 12/09/2024

Date Tested: 12/06/2024

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?	Threads
Sample 2 Visible Necking?	Yes
Sample 2 Location of Fracture?	Threads
Sample 3 Visible Necking?	Yes
Sample 3 Location of Fracture?	Threads
Sample 4 Visible Necking?	Yes
Sample 4 Location of Fracture?	Threads

Test 2 of 2

DIME Test ID: 2024-11-27-4-2

Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)