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Sample Record for 2026-01-22-10

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1000403 DEA: 120K91U4 EFIS: 1222000031 QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91-R9.2/R11.4
Work Description: CONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 16700 Valley View Avenue Suite 300
Resident Engineer: Steve Kinaly Structure Rep.: Wei-Jen Lee

Sample Information

DIME Sample ID: 2026-01-22-10
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 - Couplers
Sample Taken Date: 01/22/2026
Date that the sample was received by the laboratory/organization performing the testing: 01/26/2026
The quantity of what the sample constitutes: 280
A brief description of the sample: HRC 500/510 Couplers
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Headed Reinforcement Corporation (HRC)

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: Headed Reinforcement Corporation
Intermediate Assembler or Fabricator:
Rebar Size: #6
Coupler Model: HRC 500/510
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 100022786140
Rebar Heat Number(s): 4154542
Rebar Size 2 :
Coupler Unique ID: TP-17-03

Test Results

Test 1 of 2

DIME Test ID: 2026-01-22-10-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 01/28/2026
Date Tested: 01/28/2026
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: complies
Additional Comments When Verified:
Number of Samples 4
SampleMfg. Lot Number(s)SizeArea (sqin)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
1160.440.0044014091000ok neckingKleinfelder
2160.4404095093000ok neckingKleinfelder
3160.4404105093500ok neckingKleinfelder
4160.4404197095500ok neckingKleinfelder
Temperature 72 f
UTM NA
Halo ID NA

Test 2 of 2

DIME Test ID: 2026-01-22-10-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 01/28/2026
Date Tested: 01/28/2026
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:
Number of Samples 4
SampleMfg. Lot Number(s)SizeArea (sqin)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
1260.440.0023998091000ok neckingKleinfelder
2260.4400004089093000ok neckingKleinfelder
3260.4400004187095000ok neckingKleinfelder
4260.4400004101093000ok neckingKleinfelder
Temperature 0 f
UTM NA
Halo ID na