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Sample Record for 2020-04-22-4

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

Project Information

Project ID: 214923 DEA: 081L7104 EFIS: 0820000141 QA Service Level: 1
DIST-CO-RTE-PM: 08--91-
Work Description: Bridge Repair
Location Description:
Contractor Name: Luis Negrete
Contractor Address: 1820 ALHAMBRA BLVD., SACRAMENTO, CA 95816
Resident Engineer: Xavier Avila Structure Rep.: Negrete, Luis

Sample Information

DIME Sample ID: 2020-04-22-4
TL Number from the TL Form:
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 04/22/2020
Date that the sample was received by the laboratory/organization performing the testing: 04/23/2020
The quantity of what the sample constitutes: Lot 1
A brief description of the sample: Mechanical Couplers
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: Buchanan St OC
The fabricator/manufacturer/facility name: Integrity Rebar

Material Information

Production or Authorization Testing: Authorization Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Gerdau
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator: Integrity Rebar
Rebar Size: #11
Coupler Model: Zap Screwlok Type 2
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: NA
Rebar Hoop Fabricator: NA
Coupler Component Heat/Lot Number(s): MM19103710 Code A188
Rebar Heat Number(s): 65028581
Rebar Size 2 : 11

Test Results

Test 1 of 3

DIME Test ID: 2020-04-22-4-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 04/23/2020
Date Tested: 04/23/2020
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
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Slip (inch)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
1No. 11/36mm10.0011.5614949695831Service Splicebewing
UTM 2000kip
Temperature 72.00 f
Halo ID Large

Test 2 of 3

DIME Test ID: 2020-04-22-4-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 04/23/2020
Date Tested: 04/23/2020
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
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Slip (inch)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
2No. 11/36mm101.5614957095878Service Splicebewing
UTM 2000kip
Temperature 72.00 f
Halo ID

Test 3 of 3

DIME Test ID: 2020-04-22-4-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 04/23/2020
Date Tested: 04/23/2020
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
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Slip (inch)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
3No. 11/36mm101.5614906295553Service Splicebewing
UTM 2000kip
Temperature 72.00 f
Halo ID

Tests Assigned to this Sample

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