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Sample Record for 2018-07-28-1

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

Project Information

Project ID: 212731 DEA: 07318004 EFIS: 0715000280 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-10-22.3/28.2
Work Description: TREAT BRIDGE DECK, CLOSURE POUR AND REPLACE JOINT SEALS.
Location Description: LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM FREMONT AVENUE UNDERCROSSING TO RIO HONDO62
Contractor Name: SPECTRUM CONSTRUCTION GROUP, INC.
Contractor Address: 32 Edelman, Irvine, CA 92618
Resident Engineer: Moe Izadpanah Structure Rep.: Jennifer Man

Sample Information

DIME Sample ID: 2018-07-28-1
TL Number from the TL Form: C672059
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 07/28/2018
Date that the sample was received by the laboratory/organization performing the testing: 08/06/2018
The quantity of what the sample constitutes: 4
A brief description of the sample: Couplers
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Nucor BarSplice

Material Information

Production or Authorization Testing: Authorization Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator: Unknown
Rebar Size: 5
Coupler Model: DBL BRL Zap Screwlok
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): 7048
Rebar Heat Number(s): 350000544
Rebar Size 2 :

Test Results

Test 1 of 3

DIME Test ID: 2018-07-28-1-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 08/09/2018
Date Tested: 08/09/2018
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Service Splice
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
11#5/16mm0.313025097580Service SpliceBrian
UTM 400KIP
Temperature 72 F

Test 2 of 3

DIME Test ID: 2018-07-28-1-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 08/09/2018
Date Tested: 08/09/2018
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Service Splice
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
21#5/16mm0.313019097390Service SpliceBrian
UTM 400KIP
Temperature 72 F

Test 3 of 3

DIME Test ID: 2018-07-28-1-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 08/09/2018
Date Tested: 08/09/2018
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Service Splice
Test Result Compliance:
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
31#5/16mm0.313020097420Service SpliceBrian
UTM 400KIP
Temperature 72 F

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.