Sample Record for 2025-01-27-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000259 DEA: 050N74V4 EFIS: 0522000043
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-9.2/9.7
Work Description:
Location Description: FOR CONSTRUCTION ON STATE HIGHWAY IN SANTA BARBARA COUNTY AT MONTECITO FROM 0.2 MILE NORTH OF SHEFFIELD DRIVE UNDERCROSSING TO 0.3 MILE SOUTH OF SAN YSIDRO ROAD OVERCROSSING
Contractor Name: Granite Construction Company
Contractor Address: P.O. Box 6744, Santa Barbara, CA 93160
Resident Engineer: Taylor Merlo Structure Rep.: Emiliano Berntsen
Sample Information
DIME Sample ID: 2025-01-27-7
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: 01/27/2025
Date that the sample was received by the laboratory/organization performing the testing: 01/28/2025
The quantity of what the sample constitutes: 4
A brief description of the sample: Lenton Form Savor Couplers
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Creek Bridges
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: Lenton
Intermediate Assembler or Fabricator:
Rebar Size: #5
Coupler Model: Lenton Form Savor
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): M0276/245251
Rebar Heat Number(s): 4144473
Rebar Size 2 :
Coupler Unique ID: ST-17-05
Test Results
Test 1 of 1
DIME Test ID: 2025-01-27-7-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 02/03/2025
Date Tested: 01/29/2025
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:
Test Result Compliance:
Additional Comments When Verified:
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Number of Samples
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4
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| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Slip (inch) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1A | 4144473 | 5 | 0.31 | 0.0078 | 28950 | 93387 | Atlas Technical Consultants | Miguel Baltazar | | 2A | 4144473 | 5 | 0.31 | 000 | 28620 | 92323 | Atlas Technical Consultants | Miguel Baltazar | | 3A | 4144473 | 5 | 0.31 | 000 | 28340 | 91419 | Atlas Technical Consultants | Miguel Baltazar | | 4A | 4144473 | 5 | 0.31 | 000 | 28700 | 92581 | Atlas Technical Consultants | Miguel Baltazar |
| |
|
Temperature
|
000 f
|
|
UTM
|
NA
|
|
Halo ID
|
000
|