Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001723 DEA: 050N7064 EFIS: 0524000077
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-10.9/12.3
Work Description: SB 101 - Segment 4E North - Cabrillo
Location Description:
Contractor Name: Granite Construction
Contractor Address: P.O. Box. 6744, Santa Barbara, CA
Resident Engineer: Tristan Gebhart Structure Rep.: Josh Madrigal
DIME Sample ID: 2026-08-17-61
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (213) 505-4213
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 08/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/25/2026
The quantity of what the sample constitutes: NA
A brief description of the sample: NA
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: NA
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC
Coupler Manufacturer: HRC
Intermediate Assembler or Fabricator:
Rebar Size: #8
Coupler Model: NA
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 73141712
Rebar Heat Number(s): 9014132
Rebar Size 2 :
Coupler Unique ID: TP-17-03
DIME Test ID: 2026-08-17-61-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 09/14/2026
Date Tested: 09/14/2026
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
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Slip (inch) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 1 | 8 | 0.79 | 0.045 | 80725 | 102200 | ok necking | WSP | | 2 | 1 | 8 | 0.79 | 0.045 | 80080 | 101400 | ok necking | WSP | | 3 | 1 | 8 | 0.79 | 0.029 | 79610 | 100800 | ok necking | WSP | | 4 | 1 | 8 | 0.79 | 0.001 | 79730 | 100900 | ok necking | WSP |
| |
|
Temperature
|
0 f
|
|
UTM
|
NA
|
|
Halo ID
|
na
|
