Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001075 DEA: 040W0304 EFIS: 0420000164
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-580-0.02/6.3
Work Description: Replace existing tolling structure with open road tolling (ORT) system at the Richmond-San Rafael.
Location Description:
Contractor Name: FLATIRON WEST INC.
Contractor Address: 1200 Concord Ave Suite 465, Concord, CA 94520
Resident Engineer: William Sommer Structure Rep.: Alyssa Inocencio
DIME Sample ID: 2026-01-12-3
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 - Welded Hoops
Sample Taken Date: 01/12/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/26/2026
The quantity of what the sample constitutes: 1 Lot of 129
A brief description of the sample: 5'-2" dia. hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: Toll Plaza Reconfiguration
The fabricator/manufacturer/facility name: Conco Companies Benicia
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4151011
Hoop Manufacturer Lot Number(s): H02
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #6
Diameter of Hoop: 5'-2"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC Steel AZ
Welding Company: Conco Companies Benicia
Coating Standards: Uncoated
Weld Type: Flash Welded
DIME Test ID: 2026-01-12-3-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 04/02/2026
Date Tested: 04/02/2026
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
|
4
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| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 1 | 6 | 0.44 | 40760 | 92500 | ok necking | Kleinfelder | | 2 | 1 | 6 | 0.44 | 40180 | 91500 | ok necking | Kleinfelder | | 3 | 1 | 6 | 0.44 | 42150 | 96000 | ok necking | Kleinfelder | | 4 | 1 | 6 | 0.44 | 31170 | 71000 | affected zone | Kleinfelder |
| |
|
UTM
|
NA
|
|
Temperature
|
0 f
|
