Sample Record for 2020-06-30-3
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214511 DEA: 010E0004 EFIS: 0113000091
QA Service Level: 1
DIST-CO-RTE-PM: 01-HUM-101-84.4/84.8
Work Description: BRIDGE RAIL REPLACEMENT.
Location Description: HUMBOLDT COUNTY NEAR ARCATA FROM JACOBY CREEK BRIDGE TO GANNON SLOUGH BRIDGE
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Nathaniel Steen Structure Rep.: Jarred Burrows
Sample Information
DIME Sample ID: 2020-06-30-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 06/30/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/30/2020
The quantity of what the sample constitutes: 2 lots of 4 formsaver assemblies
A brief description of the sample: #5 Lenton Formsaver Coupler
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Con-Fab California Corporation
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC
Coupler Manufacturer: Erico
Intermediate Assembler or Fabricator: Unknown
Rebar Size: #5
Coupler Model: FS5FES
Coating Standards: ASTM A775 epoxy
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): 8298218
Rebar Heat Number(s): 6014006
Rebar Size 2 :
Coupler Unique ID:
Test Results
Test 1 of 3
DIME Test ID: 2020-06-30-3-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 07/01/2020
Date Tested: 07/01/2020
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: Service Splice
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | | No. 5/16mm | 1 | -0.0014 | 0.31 | 28853 | 93074 | Service Splice | fsaylor |
| |
|
UTM
|
400kip
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
Small
|
Test 2 of 3
DIME Test ID: 2020-06-30-3-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 07/01/2020
Date Tested: 07/01/2020
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: Service Splice
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 2 | | No. 5/16mm | 1 | 0 | 0.31 | 26512 | 85521 | Service Splice | fsaylor |
| |
|
UTM
|
400kip
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
|
Test 3 of 3
DIME Test ID: 2020-06-30-3-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 07/01/2020
Date Tested: 07/01/2020
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: Service Splice
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 3 | | No. 5/16mm | 1 | 0 | 0.31 | 28453 | 91784 | Service Splice | fsaylor |
| |
|
UTM
|
400kip
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
|
