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Sample Record for 2019-02-18-2

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Project Information

Project ID: 213442 DEA: 112E1504 EFIS: 1117000179 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-38.1/39.3
Work Description: (ALTERNATIVE DELIVERY) WETLAND CONSTRUCTION
Location Description: NEAR STATE HIGHWAY IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS AT VARIOUS LOCATIONS
Contractor Name: Flatiron-Skanska-Stacey and Witbeck, a Joint Venture
Contractor Address: 3091 Manchester Avenue, Cardiff, CA 92007
Resident Engineer: Jared Corbitt Structure Rep.: Phong Le

Sample Information

DIME Sample ID: 2019-02-18-2
TL Number from the TL Form: C939504
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 02/18/2019
Date that the sample was received by the laboratory/organization performing the testing: 03/14/2019
The quantity of what the sample constitutes: 4
A brief description of the sample: HRC 500 510 Couplers
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: HRC

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC
Coupler Manufacturer: Gerdau and Jade Sterling Steel
Intermediate Assembler or Fabricator: FSSW
Rebar Size: 11
Coupler Model: HRC 500 - 510
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: NA
Rebar Hoop Fabricator: NA
Coupler Component Heat/Lot Number(s): 500 - Z82834A 510 - 74112074
Rebar Heat Number(s): 6503301002
Rebar Size 2 : 11
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2019-02-18-2-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 03/14/2019
Date Tested: 03/14/2019
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: OK Necking
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
12#11/36mm1.56-0.010315108096847OK NeckingFred
Temperature 72 F
UTM 400KIP
Halo ID Small

Test 2 of 3

DIME Test ID: 2019-02-18-2-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 03/14/2019
Date Tested: 03/14/2019
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: OK Necking
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
22#11/36mm1.56015499099349OK NeckingFred
Temperature 72 F
UTM 400KIP
Halo ID Small

Test 3 of 3

DIME Test ID: 2019-02-18-2-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 03/14/2019
Date Tested: 03/14/2019
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: OK Necking
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
32#11/36mm1.56015535099584OK NeckingFred
Temperature 72 F
UTM 400KIP
Halo ID Small