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Sample Record for 2021-04-07-5

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Project Information

Project ID: 215673 DEA: 031J9204 EFIS: 0321000148 QA Service Level: 1
DIST-CO-RTE-PM: 03-BUT-70-15.43/15.43, 15.43
Work Description: Butte 70 Girders Repair - Major Damage Restoration
Location Description:
Contractor Name: MCM CONSTRUCTION, INC.
Contractor Address: PO BOX 620, NORTH HIGHLANDS, CA 95660
Resident Engineer: JUSTIN WOOD Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-04-07-5
TL Number from the TL Form: C0002
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: 04/07/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/09/2021
The quantity of what the sample constitutes: 500 couplers
A brief description of the sample: D250L Bar Lock Coupler
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: C and N Rebar Yard

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: Dayton Superior
Intermediate Assembler or Fabricator:
Rebar Size: #5
Coupler Model: D250L Bar Lock
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): MM18108718 A195032 179538
Rebar Heat Number(s): 3500016816
Rebar Size 2 :
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2021-04-07-5-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 04/09/2021
Date Tested: 04/09/2021
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: Service Splice
Test Result Compliance:
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. 5/16mm1-0.00060.312945995030Service Splicebewing
UTM 400kip
Temperature 72.00 f
Halo ID Small

Test 2 of 3

DIME Test ID: 2021-04-07-5-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 04/09/2021
Date Tested: 04/09/2021
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: Service Splice
Test Result Compliance:
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. 5/16mm100.312960995514Service Splicebewing
UTM 400kip
Temperature 72.00 f
Halo ID

Test 3 of 3

DIME Test ID: 2021-04-07-5-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 04/09/2021
Date Tested: 04/09/2021
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: Service Splice
Test Result Compliance:
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. 5/16mm100.312963195584Service Splicebewing
UTM 400kip
Temperature 72.00 f
Halo ID