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Sample Record for 2019-01-09-4

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

Project Information

Project ID: 213062 DEA: 07292304 EFIS: 0712000109 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-25.6/26.0
Work Description: WIDEN OFF-RAMP, WIDEN BRIDGE, AND CONSTRUCT CONCRETE BARRIER.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES FROM 0.1 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 5S/5 SEPARATION
Contractor Name: C. A. Rasmussen, Inc.
Contractor Address: 28548 Livingston Avenue, Valencia, CA 91355
Resident Engineer: Darrell McKenzie Structure Rep.: Aziz Maghsoudloo

Sample Information

DIME Sample ID: 2019-01-09-4
TL Number from the TL Form: C866888
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: 01/09/2019
Date that the sample was received by the laboratory/organization performing the testing: 02/08/2019
The quantity of what the sample constitutes: 4
A brief description of the sample: Double Barrel Zap Screwlok
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BarSplice CMC

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator: Unknown
Rebar Size: 5
Coupler Model: DB ZP Screwlok Trans cp
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): 8026
Rebar Heat Number(s): 4082429 4082469
Rebar Size 2 : 6

Test Results

Test 1 of 3

DIME Test ID: 2019-01-09-4-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 02/08/2019
Date Tested: 02/08/2019
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: Bar Broke; OK Necking
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#5/16mm0.313015097260Bar BrokeBrian
UTM 400KIP
Temperature 72 F

Test 2 of 3

DIME Test ID: 2019-01-09-4-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 02/08/2019
Date Tested: 02/08/2019
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: Bar Broke; OK Necking
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#5/16mm0.312998096710Bar BrokeBrian
UTM 400KIP
Temperature 72 F

Test 3 of 3

DIME Test ID: 2019-01-09-4-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 02/08/2019
Date Tested: 02/08/2019
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: Bar Broke; OK Necking
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#5/16mm0.312984096260Bar BrokeBrian
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.