Sample Record for 2025-11-19-24
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994574 DEA: 050C7334 EFIS: 0518000116
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-1-10.5/13.4
Work Description: CONSTRUCT OVERCROSSING AND AUXILIARY LANE/ Replace Capitola Ave OC + RWs and SWs
Location Description: SANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM STATE PARK DRIVE OVERCROSSING TO 0.2 MILE NORTH OF BAY AVENUE UNDERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 580 West Beach Street, Watsonville, CA 95076
Resident Engineer: Fernando Dos Santos Structure Rep.: Daniel Dait
Sample Information
DIME Sample ID: 2025-11-19-24
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Vallejo Field Laboratory
Sample Organization Contact: 9166394315
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 11/19/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/02/2025
The quantity of what the sample constitutes: 300 couplers
A brief description of the sample: 8 QA Samples
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bar Splice
Material Information
Production or Authorization Testing: Authorization Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor - Utah
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator:
Rebar Size: #4
Coupler Model: 4 DBZ
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 5254
Rebar Heat Number(s): 1201071701
Rebar Size 2 :
Coupler Unique ID: SB-17-02
Test Results
Test 1 of 1
DIME Test ID: 2025-11-19-24-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 12/10/2025
Date Tested: 12/10/2025
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:
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Number of Samples
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8
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| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Slip (inch) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 1 | 4 | 0.20 | 0000 | 17290 | 86500 | service splice | Kleinfelder | | 2 | 1 | 4 | 0.20 | 0000 | 17450 | 87500 | service splice | Kleinfelder | | 3 | 1 | 4 | 0.20 | 0000 | 16790 | 84000 | service splice | Kleinfelder | | 4 | 1 | 4 | 0.20 | 0000 | 17090 | 85500 | service splice | Kleinfelder | | 5 | 1 | 4 | 0.20 | 0000 | 18050 | 90500 | service splice | Kleinfelder | | 6 | 1 | 4 | 0.20 | 0000 | 17360 | 87000 | service splice | Kleinfelder | | 7 | 1 | 4 | 0.20 | 0000 | 17410 | 87000 | service splice | Kleinfelder | | 8 | 1 | 4 | 0.20 | 0000 | 17440 | 87000 | service splice | Kleinfelder |
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Temperature
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0 f
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|
UTM
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NA
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Halo ID
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na
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