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Sample Record for 2020-01-15-17

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

Project Information

Project ID: 214245 DEA: 11404604 EFIS: 1114000049 QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-56-5.6
Work Description: CONSTRUCT 2 LANES, STRUCTURAL CONCRETE BRIDGE.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO AT 0.5 MILE WEST OF CAMINO DEL SUR UNDERCROSSING
Contractor Name: FLATIRON WEST INC
Contractor Address: 16470 W. BERNARDO DRIVE, SAN DIEGO CA 92127
Resident Engineer: Genaro Genel Structure Rep.: Michael Charak

Sample Information

DIME Sample ID: 2020-01-15-17
TL Number from the TL Form: C690861
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: 01/15/2020
Date that the sample was received by the laboratory/organization performing the testing: 02/05/2020
The quantity of what the sample constitutes: 4
A brief description of the sample: Coupler
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: 7
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): 9065
Rebar Heat Number(s): 9001712
Rebar Size 2 :
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2020-01-15-17-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 02/06/2020
Date Tested: 02/05/2020
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
117/22mm0.661617.01102695Service Splicebewing
UTM 400kip
Temperature 72 f

Test 2 of 3

DIME Test ID: 2020-01-15-17-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 02/06/2020
Date Tested: 02/05/2020
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
217/22mm0.660556.48100927Service Splicebewing
UTM 400kip
Temperature 72 f

Test 3 of 3

DIME Test ID: 2020-01-15-17-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 02/06/2020
Date Tested: 02/05/2020
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
317/22mm0.661069.95101783Service Splicebewing
UTM 400kip
Temperature 72 f