Sample Record for 2021-05-21-9
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214579 DEA: 010B0904 EFIS: 0100020444
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-8.2/8.7
Work Description: Panther Creek & Hunter Creek Bridges
Location Description: DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE
Contractor Name: Golden State Bridge, Inc
Contractor Address: 3701 Mallard Dr., Benicia, CA 94510
Resident Engineer: Ryan Dunne Structure Rep.: Brian Cinkutis
Sample Information
DIME Sample ID: 2021-05-21-9
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 05/21/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/21/2021
The quantity of what the sample constitutes: 66
A brief description of the sample: Superior D101 Form Savers
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: PJs Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: Superior D101 Form Savers
Intermediate Assembler or Fabricator: PJs Rebar
Rebar Size: #10
Coupler Model: Superior D101 Form Savers
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): x
Rebar Heat Number(s): 3500001289
Rebar Size 2 : 10
Coupler Unique ID:
Test Results
Test 1 of 3
DIME Test ID: 2021-05-21-9-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 05/26/2021
Date Tested: 05/25/2021
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 Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | | No. 10/32mm | 1 | -0.0055 | 1.27 | 123213 | 97018 | Ok necking | bewing |
| |
|
UTM
|
2000kip
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
Small
|
Test 2 of 3
DIME Test ID: 2021-05-21-9-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 05/26/2021
Date Tested: 05/25/2021
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 Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 2 | | No. 10/32mm | 1 | 0 | 1.27 | 123146 | 96965 | Ok necking | bewing |
| |
|
UTM
|
2000kip
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
|
Test 3 of 3
DIME Test ID: 2021-05-21-9-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 05/26/2021
Date Tested: 05/25/2021
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 Tested
|
1
|
| Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 3 | | No. 10/32mm | 1 | 0 | 1.27 | 123313 | 97097 | Ok necking | bewing |
| |
|
UTM
|
2000kip
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
|
