Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 214579 DEA: 010B0904 EFIS: 0100020444
QA Service Level: 1
DIST-CO-RTE-PM: 01-DN-101-8.2/8.7
Work Description: BRIDGE REPLACEMENT
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
DIME Sample ID: 2021-12-30-7
TL Number from the TL Form: c658239
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 12/30/2021
Date that the sample was received by the laboratory/organization performing the testing: 01/11/2022
The quantity of what the sample constitutes: 50 couplers
A brief description of the sample: QA/QC Samples of couplers for 4,5,6,7,9 and 10
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 01-0086
Structure name: Panther Creek and Hunter Creek
The fabricator/manufacturer/facility name: PJ's rebar
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: Dayton
Intermediate Assembler or Fabricator: PJs Rebar
Rebar Size: #4
Coupler Model: Dayton D101/D101A
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): Dayton Superior D101/D101A
1313093
Rebar Heat Number(s): 3500018483 Nucor
Rebar Size 2 : 4
Coupler Unique ID:
DIME Test ID: 2021-12-30-7-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 01/13/2022
Date Tested: 01/12/2022
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: paul.lukkarila@dot.ca.gov
Organization Phone: 916-227-7257
General Comments for this Test: Service Splice
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. 4/13mm | 1 | -0.0016 | 0.2 | 18547 | 92733 | Service Splice | |
| |
|
UTM
|
400kip
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
Small
|
DIME Test ID: 2021-12-30-7-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 01/13/2022
Date Tested: 01/12/2022
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: paul.lukkarila@dot.ca.gov
Organization Phone: 916-227-7257
General Comments for this Test: Service Splice
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. 4/13mm | 1 | 0 | 0.2 | 18645 | 93225 | Service Splice | bewing |
| |
|
UTM
|
400kip
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
|
DIME Test ID: 2021-12-30-7-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 01/13/2022
Date Tested: 01/12/2022
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: paul.lukkarila@dot.ca.gov
Organization Phone: 916-227-7257
General Comments for this Test: Service Splice
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. 4/13mm | 1 | 0 | 0.2 | 18706 | 93530 | Service Splice | bewing |
| |
|
UTM
|
400kip
|
|
Temperature
|
72.00 f
|
|
Halo ID
|
|