Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214795 DEA: 030H3424 EFIS: 0317000153
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99-22.6
Work Description: REPLACE BRIDGE DECK WITH PRESTRESSED CONCRETE BOX GIRDER.
Location Description: SACRAMENTO COUNTY IN SACRAMENTO AT 21ST AVENUE UNDERCROSSING
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 4950 Allison Parkway, # A, Vacaville, CA 95688
Resident Engineer: Howard Giang Structure Rep.: Brandon Miller
DIME Sample ID: 2021-03-23-14
TL Number from the TL Form:
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 - Welded Hoops
Sample Taken Date: 03/23/2021
Date that the sample was received by the laboratory/organization performing the testing: 03/23/2021
The quantity of what the sample constitutes: 8 of 192
A brief description of the sample: Galvanized rebar with welded wire mesh
From where was the sample collected: Fabricator
Laboratory sample identification: 001
Structure unique identifier:
Structure name: 21st Avenue UC
The fabricator/manufacturer/facility name: Confab Lathrop - KRC Vernalis
Production or Authorization Testing: Authorization Testing
Service or Ultimate: Service
Rebar Heat Number(s): 2012525
Hoop Manufacturer Lot Number(s): 1 and 2
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #5
Diameter of Hoop: 0'-0"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Vinton Steel
Welding Company: Pacific Galvanizing
Coating Standards: Uncoated
Weld Type: Flash Welded
DIME Test ID: 2021-03-23-14-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 03/29/2021
Date Tested: 03/29/2021
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: Broke at Wire
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 1 | 5/16mm | 0.31 | 29630.00 | 95581 | Broke at Wire | fsaylor |
| |
|
UTM
|
75kip
|
|
Temperature
|
72 f
|
DIME Test ID: 2021-03-23-14-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 03/29/2021
Date Tested: 03/29/2021
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: Broke a way From Wire
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 2 | 1 | 5/16mm | 0.31 | 29905.24 | 96469 | Broke a way From Wire | fsaylor |
| |
|
UTM
|
75kip
|
|
Temperature
|
72 f
|
DIME Test ID: 2021-03-23-14-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 03/29/2021
Date Tested: 03/29/2021
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: Broke a way From Wire
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 3 | 1 | 5/16mm | 0.31 | 30437.19 | 98184 | Broke a way From Wire | fsaylor |
| |
|
UTM
|
75kip
|
|
Temperature
|
72 f
|
DIME Test ID: 2021-03-23-14-4
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 03/29/2021
Date Tested: 03/29/2021
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: Broke a way From Wire
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 4 | 1 | 5/16mm | 0.31 | 30366.05 | 97955 | Broke a way From Wire | fsaylor |
| |
|
UTM
|
75kip
|
|
Temperature
|
72 f
|
DIME Test ID: 2021-03-23-14-5
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 03/29/2021
Date Tested: 03/29/2021
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: Broke a way From Wire
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 2 | 5/16mm | 0.31 | 31121.79 | 100393 | Broke a way From Wire | fsaylor |
| |
|
UTM
|
75kip
|
|
Temperature
|
72 f
|
DIME Test ID: 2021-03-23-14-6
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 03/29/2021
Date Tested: 03/29/2021
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: Broke a way From Wire
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 2 | 2 | 5/16mm | 0.31 | 31178.94 | 100577 | Broke a way From Wire | fsaylor |
| |
|
UTM
|
75kip
|
|
Temperature
|
72 f
|
DIME Test ID: 2021-03-23-14-7
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 03/29/2021
Date Tested: 03/29/2021
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: Broke a way From Wire
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 3 | 2 | 5/16mm | 0.31 | 31389.36 | 101256 | Broke a way From Wire | fsaylor |
| |
|
UTM
|
75kip
|
|
Temperature
|
72 f
|
DIME Test ID: 2021-03-23-14-8
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 03/29/2021
Date Tested: 03/29/2021
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: Broke a way From Wire
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
1
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 4 | 2 | 5/16mm | 0.31 | 31251.40 | 100811 | Broke a way From Wire | fsaylor |
| |
|
UTM
|
75kip
|
|
Temperature
|
72 f
|
