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Sample Record for 2024-12-09-9

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

Project Information

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

Sample Information

DIME Sample ID: 2024-12-09-9
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 12/09/2024
Date that the sample was received by the laboratory/organization performing the testing: 12/10/2024
The quantity of what the sample constitutes: 1 lot
A brief description of the sample: #11 D250L Coupler
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 42-0171
Structure name: Toulumne Street OC
The fabricator/manufacturer/facility name: Job Site

Material Information

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: #11
Coupler Model: D250L
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 207506 4000016126 4000016130
Rebar Heat Number(s): 3500039578
Rebar Size 2 :
Coupler Unique ID: SL-17-06
Test results on following page(s): 2

Test Results

Test 1 of 2

DIME Test ID: 2024-12-09-9-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 12/14/2024
Date Tested: 12/13/2024
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)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
1A207506111.560.002013976089590Atlas Technical ConsultantsMiguel Baltazar
2A207506111.5600013715087917Atlas Technical ConsultantsMiguel Baltazar
3A207506111.5600014125090545Atlas Technical ConsultantsMiguel Baltazar
4A207506111.5600014433092519Atlas Technical ConsultantsMiguel Baltazar
Temperature 0 f
UTM NA
Halo ID 000

Test 2 of 2

DIME Test ID: 2024-12-09-9-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Necking)
Verified Date: 12/14/2024
Date Tested: 12/13/2024
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