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Sample Record for 2021-12-22-1

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

Project Information

Project ID: 88888 DEA: SMTL-STOCK EFIS: SMTL-STOCK QA Service Level:
DIST-CO-RTE-PM: 59---
Work Description: Special project for SMTL stock material. Object Code: 1025. J2 DEA: 912680.
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2021-12-22-1
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: Authorization
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 12/22/2021
Date that the sample was received by the laboratory/organization performing the testing: 12/27/2021
The quantity of what the sample constitutes: 10 of 15 samples from welder ST-32
A brief description of the sample: Welding Machine ST32
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name: Large Diameter
The fabricator/manufacturer/facility name: CMC Etiwanda

Material Information

Production or Authorization Testing: Authorization Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 4114066
Hoop Manufacturer Lot Number(s): NA
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #4
Diameter of Hoop: 5'-0"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: CMC
Welding Company: CMC San Bernardino
Coating Standards: Uncoated
Weld Type: Flash Welded

Test Results

Test 1 of 8

DIME Test ID: 2021-12-22-1-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 09/09/2022
Date Tested: 05/19/2022
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: 100 Cycle - 1
Test Result Compliance:
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
1No. 4/13mm10.21922196107100 Cycle - 1spaine
UTM 400kip
Temperature 72.00 f

Test 2 of 8

DIME Test ID: 2021-12-22-1-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 09/09/2022
Date Tested: 05/19/2022
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: 100 Cycle - 2
Test Result Compliance:
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
2No. 4/13mm10.21927496370100 Cycle - 2spaine
UTM 400kip
Temperature 72.00 f

Test 3 of 8

DIME Test ID: 2021-12-22-1-4
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 09/09/2022
Date Tested: 05/19/2022
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: 100 Cycle - 3
Test Result Compliance:
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
3No. 4/13mm10.21923596177100 Cycle - 3spaine
UTM 400kip
Temperature 72.00 f

Test 4 of 8

DIME Test ID: 2021-12-22-1-5
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 09/09/2022
Date Tested: 05/19/2022
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: 100 Cycle - 4
Test Result Compliance:
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
4No. 4/13mm10.21922596126100 Cycle - 4spaine
UTM 400kip
Temperature 72.00 f

Test 5 of 8

DIME Test ID: 2021-12-22-1-6
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 09/09/2022
Date Tested: 05/19/2022
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: Break - 1
Test Result Compliance:
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
5No. 4/13mm10.21924596223Break - 1spaine
UTM 400kip
Temperature 72.00 f

Test 6 of 8

DIME Test ID: 2021-12-22-1-7
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 09/09/2022
Date Tested: 05/19/2022
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: Break - 2
Test Result Compliance:
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
6No. 4/13mm10.21921696080Break - 2spaine
UTM 400kip
Temperature 72.00 f

Test 7 of 8

DIME Test ID: 2021-12-22-1-8
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 09/09/2022
Date Tested: 05/19/2022
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: Break - 3
Test Result Compliance:
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
7No. 4/13mm10.21948497418Break - 3spaine
UTM 400kip
Temperature 72.00 f

Test 8 of 8

DIME Test ID: 2021-12-22-1-9
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical)
Verified Date: 09/09/2022
Date Tested: 05/19/2022
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: Break - 4
Test Result Compliance:
Additional Comments When Verified:
Number of Samples Tested 1
SampleNumber of CyclesSizeMfg. Lot Number(s)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
8No. 4/13mm10.21921696080Break - 4spaine
UTM 400kip
Temperature 72.00 f