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Sample Record for 2016-05-06-7

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

Project Information

Project ID: 209576 DEA: 11263304 EFIS: 1100000743 QA Service Level: 1
DIST-CO-RTE-PM: 11-IMP-8-R38.8/R39.1
Work Description: BRIDGE REPLACEMENT AND MODIFY INTERCHANGE.
Location Description: IMPERIAL COUNTY IN EL CENTRO FROM 0.2 MILE WEST TO 0.1 MILE EAST OF DOGWOOD ROAD OVERCROSSING
Contractor Name: HAZARD CONSTRUCTION COMPANY
Contractor Address: PO BOX 229000, SAN DIEGO CA 92192-9000
Resident Engineer: Daniel Hernandez Duarte Structure Rep.: Alex Balce

Sample Information

DIME Sample ID: 2016-05-06-7
TL Number from the TL Form: Unknown
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: 05/06/2016
Date that the sample was received by the laboratory/organization performing the testing: 05/20/2016
The quantity of what the sample constitutes: 4
A brief description of the sample: Lenton Couplers
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC Erico

Material Information

Production or Authorization Testing: Authorization Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC
Coupler Manufacturer: Erico
Intermediate Assembler or Fabricator: Unknown
Rebar Size: #11
Coupler Model: Lenton
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): L8613
Rebar Heat Number(s): 4053814
Rebar Size 2 : NA
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2016-05-06-7-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 05/23/2016
Date Tested: 05/23/2016
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: complies
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
11#11/36mm1.56.001315295598048Service SpliceBrian
Temperature 72 F
UTM 2000KIP
Halo ID N/A

Test 2 of 3

DIME Test ID: 2016-05-06-7-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 05/23/2016
Date Tested: 05/23/2016
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: complies
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
21#11/36mm1.56014844795158Service SpliceBrian
Temperature 72 F
UTM 2000KIP
Halo ID N/A

Test 3 of 3

DIME Test ID: 2016-05-06-7-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 05/23/2016
Date Tested: 05/23/2016
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: complies
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
31#11/36mm1.56014900995519Service SpliceBrian
Temperature 72 F
UTM 2000KIP
Halo ID N/A