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Sample Record for 2017-04-17-2

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 212164 DEA: 051J1304 EFIS: 0517000064 QA Service Level: 1
DIST-CO-RTE-PM: 05-MON,MON-1-45.52, 45.4/45.8
Work Description: Pfeiffer Canyon Emergency Bridge Replacement Project
Location Description: Highway 1 at Pfeiffer State Park
Contractor Name: Golden State Bridge
Contractor Address: 2990 Bay Vista Court, Benicia, CA 94510
Resident Engineer: Tyler Lavering Structure Rep.: David Galarza

Sample Information

DIME Sample ID: 2017-04-17-2
TL Number from the TL Form: C741370
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 04/17/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/18/2017
The quantity of what the sample constitutes: 4
A brief description of the sample: Bartec Couplers
From where was the sample collected: Fabricator
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Harris Rebar Nucor

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: Dextra America
Intermediate Assembler or Fabricator: Unknown
Rebar Size: #9
Coupler Model: Threaded
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Nucor
Coupler Component Heat/Lot Number(s): DL14106985, 3715
Rebar Heat Number(s): SE16105372
Rebar Size 2 :
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2017-04-17-2-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 04/18/2017
Date Tested: 04/18/2017
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 1
SampleMfg. Lot Number(s)SizeArea (sqin)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
1C01#9/29mm1-0.0029527295272Service SpliceBrian
Temperature 72 F
UTM 2000KIP
Halo ID Small

Test 2 of 3

DIME Test ID: 2017-04-17-2-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 04/18/2017
Date Tested: 04/18/2017
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 1
SampleMfg. Lot Number(s)SizeArea (sqin)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
2C01#9/29mm109583995839Service SpliceBrian
Temperature 72 F
UTM 2000KIP
Halo ID Small

Test 3 of 3

DIME Test ID: 2017-04-17-2-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 04/18/2017
Date Tested: 04/18/2017
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 1
SampleMfg. Lot Number(s)SizeArea (sqin)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
3C01#9/29mm109403194031Service SpliceBrian
Temperature 72 F
UTM 2000KIP
Halo ID Small