Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 993678 DEA: 042Q8004 EFIS: 0419000050 COOP: 042836,042944
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101,92-US 101 & SR 92-10.9/12.1 & 11.8/13.4
Work Description: US 101/SR 92 INTERCHANGE AREA IMPROVEMENT :PROJECT WILL CONSTRUCT CONGESTION RELIEF IMPROVEMENTS AT THE US 101/SR 92 INTERCHANGE AREA.
Location Description:
Contractor Name: GORDON N. BALL, INC.
Contractor Address: 333 CAMILLE AVENUE, ALAMO, CA 94507
Resident Engineer: Mohamed Fouad Structure Rep.: Bryan Nagid
DIME Sample ID: 2025-07-11-4
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 - Welded Hoops
Sample Taken Date: 07/11/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/16/2025
The quantity of what the sample constitutes: 4 of 393
A brief description of the sample: Flash Welded
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TNT Rebar
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 3500041724
Hoop Manufacturer Lot Number(s): 11
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #6
Diameter of Hoop: 1'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor
Welding Company: TNT
Coating Standards: Uncoated
Weld Type: Flash Welded
DIME Test ID: 2025-07-11-4-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 07/23/2025
Date Tested: 07/23/2025
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
4
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 11 | 6 | 0.44 | 44510 | 101000 | ok necking | Kleinfelder | | 2 | 11 | 6 | 0.44 | 44790 | 102000 | ok necking | Kleinfelder | | 3 | 11 | 6 | 0.44 | 43480 | 99000 | ok necking | Kleinfelder | | 4 | 11 | 6 | 0.44 | 44410 | 101000 | ok necking | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
