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Sample Record for 2018-11-28-3

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Project Information

Project ID: 213771 DEA: 081K3404 EFIS: 0819000023 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-215-
Work Description: Repair Bridge
Location Description: Washington Street OC
Contractor Name: Myers Rados Joint Venture
Contractor Address: 12210 Michigan Street, Suite D, Grand Terrance, CA 92313
Resident Engineer: Mahfual Alam Structure Rep.: Ching Chuang

Sample Information

DIME Sample ID: 2018-11-28-3
TL Number from the TL Form:
Sample Submitted By Organization: CT - Unassigned/General Field Laboratory
Sample Organization Contact: 5625005861
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 11/28/2018
Date that the sample was received by the laboratory/organization performing the testing: 12/04/2018
The quantity of what the sample constitutes: 8 each
A brief description of the sample: Bar Lock Couplers
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Field

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Gerdau
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator: Santiago Rodriguez
Rebar Size: 6
Coupler Model: Double Barrel Zap
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: straight
Rebar Hoop Fabricator: none
Coupler Component Heat/Lot Number(s): 5217
Rebar Heat Number(s): 65032646
Rebar Size 2 : 6
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2018-11-28-3-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 12/07/2018
Date Tested: 12/07/2018
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)Peak Load (lbf)Peak Stress (psi)CommentsTested By
11#6/19mm0.444178094950Service SpliceFred
UTM 400KIP
Temperature 72 F

Test 2 of 3

DIME Test ID: 2018-11-28-3-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 12/07/2018
Date Tested: 12/07/2018
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)Peak Load (lbf)Peak Stress (psi)CommentsTested By
21#6/19mm0.444061092300Service SpliceFred
UTM 400KIP
Temperature 72 F

Test 3 of 3

DIME Test ID: 2018-11-28-3-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 12/07/2018
Date Tested: 12/07/2018
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)Peak Load (lbf)Peak Stress (psi)CommentsTested By
31#6/19mm0.444372099360Service SpliceFred
UTM 400KIP
Temperature 72 F