Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213569 DEA: 024F2104 EFIS: 0212000072
QA Service Level: 1
DIST-CO-RTE-PM: 02-MOD-299-0.5/1.0
Work Description: Butte and Ash Creek Bridge Replacement
Location Description: Construction of Butte Creek Bridge and Ash Creek Bridge on Route 299 at Adin
Contractor Name: WEST COAST CONTRACTORS
Contractor Address: 61050 Highway 101, Coos Bay, Oregon 97420
Resident Engineer: Mike Zdenek Structure Rep.: Ryan G Duran
DIME Sample ID: 2019-05-09-2
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 - Welded Hoops
Sample Taken Date: 05/09/2019
Date that the sample was received by the laboratory/organization performing the testing: 05/13/2019
The quantity of what the sample constitutes: 7 lots
A brief description of the sample: Resistance Butt Welded Hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RKR Steel Welding
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 40832535
Hoop Manufacturer Lot Number(s): Lots 1 thru 7
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: 6
Diameter of Hoop: 1'-11"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC
Welding Company: RKR Steel Welding
Coating Standards: Uncoated
Weld Type: Flash Welded
DIME Test ID: 2019-05-09-2-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 05/15/2019
Date Tested: 05/15/2019
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 1 | #6/19mm | 0.44 | 41290 | 93840 | Bar Broke | Brian |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 F
|
DIME Test ID: 2019-05-09-2-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 05/15/2019
Date Tested: 05/15/2019
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 2 | 1 | #6/19mm | 0.44 | 34800 | 79090 | Bar Broke | Brian |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 F
|
DIME Test ID: 2019-05-09-2-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 05/15/2019
Date Tested: 05/15/2019
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 3 | 1 | #6/19mm | 0.44 | 41070 | 93340 | Bar Broke | Brian |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 F
|
DIME Test ID: 2019-05-09-2-4
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 05/15/2019
Date Tested: 05/15/2019
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 4 | 1 | #6/19mm | 0.44 | 41290 | 93840 | Bar Broke | Brian |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 F
|
DIME Test ID: 2019-05-09-2-5
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 05/15/2019
Date Tested: 05/15/2019
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 2 | #6/19mm | 0.44 | 41030 | 93250 | Bar Broke | Brian |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 F
|
DIME Test ID: 2019-05-09-2-6
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 05/15/2019
Date Tested: 05/15/2019
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 2 | 2 | #6/19mm | 0.44 | 41590 | 94520 | Bar Broke | Brian |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 F
|
DIME Test ID: 2019-05-09-2-7
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 05/15/2019
Date Tested: 05/15/2019
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 3 | 2 | #6/19mm | 0.44 | 41240 | 93730 | Bar Broke | Brian |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 F
|
DIME Test ID: 2019-05-09-2-8
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 05/15/2019
Date Tested: 05/15/2019
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 7 | #6/19mm | 0.44 | 41280 | 93820 | Bar Broke | Brian |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 F
|
DIME Test ID: 2019-05-09-2-9
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 05/15/2019
Date Tested: 05/15/2019
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 2 | 7 | #6/19mm | 0.44 | 41200 | 93640 | Bar Broke | Brian |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 F
|
DIME Test ID: 2019-05-09-2-10
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 05/15/2019
Date Tested: 05/15/2019
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: Bar Broke; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 3 | 7 | #6/19mm | 0.44 | 41280 | 93820 | Bar Broke | Brian |
| |
|
UTM
|
400KIP
|
|
Temperature
|
72 F
|
