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Sample Record for 2017-11-16-7

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

Project Information

Project ID: 211784 DEA: 11085784 EFIS: 1100000064 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-163-4.1/4.9
Work Description: INTERCHANGE MODIFICATION AND OVERCROSSING WIDENING.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM 0.3 MILE SOUTH TO 0.5 MILE NORTH OF FRIARS ROAD OVERCROSSING
Contractor Name: Flatiron West Inc
Contractor Address: 1770 La Costa Meadows Dr., San Marcos, CA 92078
Resident Engineer: Dave Cortez Structure Rep.: Alex Balce

Sample Information

DIME Sample ID: 2017-11-16-7
TL Number from the TL Form: C958030
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: 11/16/2017
Date that the sample was received by the laboratory/organization performing the testing: 12/08/2017
The quantity of what the sample constitutes: 4
A brief description of the sample: HRC 500 510 Couplers
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC CMC Rebar

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC Rebar
Coupler Manufacturer: HRC
Intermediate Assembler or Fabricator: Unknown
Rebar Size: #9/29
Coupler Model: HRC 500-510
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): 177275, 177488
Rebar Heat Number(s): 4070723
Rebar Size 2 :
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2017-11-16-7-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 12/08/2017
Date Tested: 12/08/2017
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: necking okay
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
11#9/29mm1-0.00139479194791necking okayFred
Temperature 72 F
UTM 2000KIP
Halo ID Small

Test 2 of 3

DIME Test ID: 2017-11-16-7-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 12/08/2017
Date Tested: 12/08/2017
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: necking okay
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
21#9/29mm109500095000necking okayFred
Temperature 72 F
UTM 2000KIP
Halo ID Small

Test 3 of 3

DIME Test ID: 2017-11-16-7-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 12/08/2017
Date Tested: 12/08/2017
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: necking okay
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
31#9/29mm109430394303necking okayFred
Temperature 72 F
UTM 2000KIP
Halo ID Small