Sample Record for 2025-04-30-15
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994525 DEA: 031H9904 EFIS: 0317000043
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-80-68.3/69.7,0.0/R2.7
Work Description: RDWY EXC, PLACE HMA & JPCP, SLAB REPLACEMENT & POLYESTER CONC OVERLAY.
Location Description: PLACER AND NEVADA COUNTIES NEAR KINGVALE FROM 0.3 MILE WEST OF TROY UNDERCROSSING TO 0.2 MILE EAST OF SODA SPRINGS OVERCROSSING
Contractor Name: A. TEICHERT & SON INC DBA TEICHERT CONSTRUCTION
Contractor Address: 4401 Duluth Avenue, Rocklin, CA 95765
Resident Engineer: Randie Babbini Structure Rep.: Carl Anderson
Sample Information
DIME Sample ID: 2025-04-30-15
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: 04/30/2025
Date that the sample was received by the laboratory/organization performing the testing: 05/01/2025
The quantity of what the sample constitutes: 4
A brief description of the sample: #9 HRC 500M/520 Coupler
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 80
Rebar Manufacturer: Nucor
Coupler Manufacturer: Nucor
Intermediate Assembler or Fabricator:
Rebar Size: #9
Coupler Model: HRC 500M/520
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 73131267, 100022420922
Rebar Heat Number(s): 3500037517
Rebar Size 2 :
Coupler Unique ID: TP-17-06
Test Results
Test 1 of 1
DIME Test ID: 2025-04-30-15-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 06/04/2025
Date Tested: 06/03/2025
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
General Comments for this Test:
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 | 1 | 9 | 1 | 0.0030 | 110620 | 110620 | NA | Miguel Baltazar | | 1B | 1 | 9 | 1 | 0 | 108670 | 108670 | NA | Miguel Baltazar | | 1C | 1 | 9 | 1 | 0 | 108840 | 108840 | NA | Miguel Baltazar | | 1D | 1 | 9 | 1 | 0 | 109750 | 109750 | NA | Miguel Baltazar |
| |
|
Temperature
|
72 f
|
|
UTM
|
NA
|
|
Halo ID
|
NA
|
