Sample Record for 2025-02-20-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212720 DEA: 07291404 EFIS: 0712000094
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-1-55-58
Work Description: TRANCAS CREEK BRIDGE REPLACEMENT
Location Description: IN LOS ANGELES IN CITY OF MALIBU AT TRANCAS CREEK BRIDGE (53-0027).
Contractor Name: STACY AND WITBECK, INC.
Contractor Address: 3939 Atlantic Ave Suite 114, Long Beach, CA 90807
Resident Engineer: Dan Leon Structure Rep.: Frank Lofti
Sample Information
DIME Sample ID: 2025-02-20-2
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: 02/20/2025
Date that the sample was received by the laboratory/organization performing the testing: 02/26/2025
The quantity of what the sample constitutes: 32825 lbs
A brief description of the sample: #10 HRC 500/510 Couplers
From where was the sample collected: Job Site
Laboratory sample identification: TP-17-03
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Headed Reinforcement Corp, Fountain Valley, CA
Material Information
Production or Authorization Testing: Authorization Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC Steel Arizona
Coupler Manufacturer: Headed Reinforcement Corporation Fountain Val
Intermediate Assembler or Fabricator: Stephen Luna
Rebar Size: #10
Coupler Model: HRC 500/510
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 74135330, 74133720
Rebar Heat Number(s): 9004756
Rebar Size 2 :
Coupler Unique ID: TP-17-03
Test Results
Test 1 of 2
DIME Test ID: 2025-02-20-2-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 03/04/2025
Date Tested: 03/01/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
4
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Slip (inch) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1A | 9004756 | 10 | 1.27 | 0.0020 | 120870 | 95173 | Lot 1 | Miguel Baltazar | | 2A | 9004756 | 10 | 1.27 | 000 | 121010 | 95283 | Lot 1 | Miguel Baltazar | | 3A | 9004756 | 10 | 1.27 | 000 | 120860 | 95165 | Lot 1 | Miguel Baltazar | | 4A | 9004756 | 10 | 1.27 | 000 | 121040 | 95307 | Lot 1 | Miguel Baltazar |
| |
|
Temperature
|
0 f
|
|
UTM
|
NA
|
|
Halo ID
|
000
|
Test 2 of 2
DIME Test ID: 2025-02-20-2-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 03/04/2025
Date Tested: 03/01/2025
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: Atlas Technical Consultants
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
4
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Slip (inch) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1A | 9004756 | 10 | 1.27 | 0.0020 | 121010 | 95283 | Lot 2 | Miguel Baltazar | | 2A | 9004756 | 10 | 1.27 | 000 | 120940 | 95228 | Lot 2 | Miguel Baltazar | | 3A | 9004756 | 10 | 1.27 | 000 | 121210 | 95441 | Lot 2 | Miguel Baltazar | | 4A | 9004756 | 10 | 1.27 | 000 | 121290 | 95504 | Lot 2 | Miguel Baltazar |
| |
|
Temperature
|
0 f
|
|
UTM
|
NA
|
|
Halo ID
|
000
|
