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Sample Record for 2021-04-12-2

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

Project Information

Project ID: 213653 DEA: 044G8204 EFIS: 0413000049 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-101-10.6/10.8
Work Description: REPLACE SAN RAFAEL HARBOR BRIDGE (ABC)
Location Description: MARIN COUTY, IN SAN RAFAEL, FROM ROUTE 101 NORTHBOUND OFF-RAMP TO 2ND STREET
Contractor Name: Gordon N. Ball
Contractor Address: 333 Camille Ave., Alamo, CA 94507
Resident Engineer: Dawit Habteselassie Structure Rep.: Long N Ly

Sample Information

DIME Sample ID: 2021-04-12-2
TL Number from the TL Form:
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 - Welded Hoops
Sample Taken Date: 04/12/2021
Date that the sample was received by the laboratory/organization performing the testing: 04/14/2021
The quantity of what the sample constitutes: 10
A brief description of the sample: Ultimate Welded Rebar Hoop
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: RKR Steel Welding

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 084021
Hoop Manufacturer Lot Number(s): 2
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #5
Diameter of Hoop: 1'-11"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade
Welding Company: RKR Steel Welding
Coating Standards: Uncoated
Weld Type: Flash Welded

Test Results

Test 1 of 3

DIME Test ID: 2021-04-12-2-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 04/19/2021
Date Tested: 04/16/2021
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: Ok Necking
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
125/16mm0.3129668.0295703Ok Neckingbewing
UTM 400kip
Temperature 72 f

Test 2 of 3

DIME Test ID: 2021-04-12-2-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 04/19/2021
Date Tested: 04/16/2021
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: Ok Necking
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
225/16mm0.3129563.2895365Ok Neckingbewing
UTM 400kip
Temperature 72 f

Test 3 of 3

DIME Test ID: 2021-04-12-2-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 04/19/2021
Date Tested: 04/16/2021
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: Ok Necking
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
325/16mm0.3129810.2496162Ok Neckingbewing
UTM 400kip
Temperature 72 f