Sample Record for 2025-07-14-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994816 DEA: 010E11U4 EFIS: 0123000069
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-1-31.1/31.6
Work Description: STRUCTURAL CONC BRIDGE, TEMP BRIDGE AND BAR REINFORCING STEEL.
Location Description: MENDOCINO COUNTY NEAR ELK FROM 0.2 MILE SOUTH OF ELK CREEK BRIDGE TO 0.2 MILE NORTH OF ELK CREEK BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 1324 S. State Street, Ukiah, CA 95482
Resident Engineer: Mojtaba Mosallai Structure Rep.: Mostafa Bayoumi
Sample Information
DIME Sample ID: 2025-07-14-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 07/14/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/16/2025
The quantity of what the sample constitutes: 1 lot of 48
A brief description of the sample: Couplers with #11 bar, Grade 80
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 10-0312
Structure name: Elk Creek Bridge
The fabricator/manufacturer/facility name: CMC Tracy
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 80
Rebar Manufacturer: CMC Mesa
Coupler Manufacturer: HRC Gerdau
Intermediate Assembler or Fabricator: CMC Tracy
Rebar Size: #11
Coupler Model: Extender 500
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 74126669
Rebar Heat Number(s): 9004339
Rebar Size 2 :
Coupler Unique ID: TF-17-02
Test Results
Test 1 of 1
DIME Test ID: 2025-07-14-2-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 07/22/2025
Date Tested: 07/21/2025
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 | | 1 | 74126669 | 11 | 1.56 | 0.0007 | 175710 | 112635 | NA | Miguel Baltazar | | 2 | 74126669 | 11 | 1.56 | 0 | 175770 | 112673 | NA | Miguel Baltazar | | 3 | 74126669 | 11 | 1.56 | 0 | 175050 | 112212 | NA | Miguel Baltazar | | 4 | 74126669 | 11 | 1.56 | 0 | 174820 | 112064 | NA | Miguel Baltazar |
| |
|
Temperature
|
72 f
|
|
UTM
|
NA
|
|
Halo ID
|
NA
|
