Sample Record for 2021-04-06-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215063 DEA: 032F5704 EFIS: 0300020615
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA-80-46.3/63.5
Work Description: Replace 4 Bridges (OC) on Highway 80 from Crystal Springs to Cisco Grove (Baxter, Drum Forebay)
Location Description:
Contractor Name: Walsh Construction Company II, LLC (Walsh)
Contractor Address: 1390 Willow Pass Road Suite 950, Concord, CA 94520
Resident Engineer: Tad Sampson Structure Rep.: Jimmer Ross
Sample Information
DIME Sample ID: 2021-04-06-1
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 - Headed Bars
Sample Taken Date: 04/06/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/07/2021
The quantity of what the sample constitutes: 4
A brief description of the sample: #9 Button Head Galvanized
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Galvanizing
Material Information
Production or Authorization Testing: Retest
Rebar Heat Number(s): 4101383
Head Manufacturer Lot Number(s): A204230 A202389
Rebar Size: #9
Headed Bar Model Name: GripTwist and Grip Twist Doughnut 10Ab
Size of Head: Full Size - 9x
Head Connection Type: Friction Weld
Head Shape: Circular
Rebar Manufacturer: CMC
Head Manufacturer: Barsplice
Head Fabricator: Camblin Steel
Material Standard Code: ASTM A706
Headed Bar Unique ID:
Test Results
Test 1 of 4
DIME Test ID: 2021-04-06-1-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 04/08/2021
Date Tested: 04/08/2021
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: End Anchor; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | | No. 9/29mm | 1 | 1 | 91798 | 91798 | End Anchor | fsaylor |
| |
|
UTM
|
400kip
|
|
Temperature
|
72.00 f
|
Test 2 of 4
DIME Test ID: 2021-04-06-1-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 04/08/2021
Date Tested: 04/08/2021
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: End Anchor; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 2 | | No. 9/29mm | 1 | 1 | 91717 | 91717 | End Anchor | fsaylor |
| |
|
UTM
|
400kip
|
|
Temperature
|
72.00 f
|
Test 3 of 4
DIME Test ID: 2021-04-06-1-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 04/08/2021
Date Tested: 04/08/2021
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: End Anchor; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 3 | | No. 9/29mm | 1 | 1 | 91695 | 91695 | End Anchor | fsaylor |
| |
|
UTM
|
400kip
|
|
Temperature
|
72.00 f
|
Test 4 of 4
DIME Test ID: 2021-04-06-1-4
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 04/08/2021
Date Tested: 04/08/2021
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: End Anchor; OK Necking
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 4 | | No. 9/29mm | 1 | 1 | 91839 | 91839 | End Anchor | fsaylor |
| |
|
UTM
|
400kip
|
|
Temperature
|
72.00 f
|
