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Sample Record for 2022-09-02-11

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Project Information

Project ID: 993730 DEA: 010K7704 EFIS: 0121000008 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-101,162-14.6,15.9,0.7
Work Description: Repair 3 Bridges
Location Description: MENDOCINO COUNTY AT VARIOUS LOCATIONS
Contractor Name: Golden State Bridge
Contractor Address: 3701 Mallard Drive, Benicia, CA 94510
Resident Engineer: Katharine Perrin Structure Rep.: Kitt Tongthaworn

Sample Information

DIME Sample ID: 2022-09-02-11
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Department Acceptance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 09/02/2022
Date that the sample was received by the laboratory/organization performing the testing: 09/07/2022
The quantity of what the sample constitutes: 124
A brief description of the sample: #5 Barsplice Grip Twist Coupler
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Camblin

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: cascade
Coupler Manufacturer: barsplice
Intermediate Assembler or Fabricator: camblin
Rebar Size: #5
Coupler Model: grip twist
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): male 212556 female 212556
Rebar Heat Number(s): 306422
Rebar Size 2 : 5
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2022-09-02-11-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 09/08/2022
Date Tested: 09/08/2022
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
SampleNumber of CyclesSizeMfg. Lot Number(s)Slip (inch)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
1No. 5/16mm10.00080.312738388332Service Splicebewing
UTM 450kip
Temperature 72.00 f
Halo ID Small

Test 2 of 3

DIME Test ID: 2022-09-02-11-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 09/08/2022
Date Tested: 09/08/2022
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
SampleNumber of CyclesSizeMfg. Lot Number(s)Slip (inch)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
2No. 5/16mm100.312757688956Service Splicebewing
UTM 450kip
Temperature 72.00 f
Halo ID

Test 3 of 3

DIME Test ID: 2022-09-02-11-4
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 09/08/2022
Date Tested: 09/08/2022
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
SampleNumber of CyclesSizeMfg. Lot Number(s)Slip (inch)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
3No. 5/16mm100.312757088935Service Splicebewing
UTM 450kip
Temperature 72.00 f
Halo ID