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Sample Record for 2016-06-17-7

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Project Information

Project ID: 210040 DEA: 04297624 EFIS: 0400020581 COOP: 042558 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-84-22.9/25.7
Work Description: WIDENING AND EXPRESSWAY UPGRADES
Location Description: ON ROUTE 84, FROM RUBY HILL DRIVE TO NORTH OF CONCANNON BOULEVARD
Contractor Name: DeSilva Gates
Contractor Address: 11555 Dublin Boulevard , Dublin, CA 94568
Resident Engineer: Raif Rihani Structure Rep.: Arsenio Escat

Sample Information

DIME Sample ID: 2016-06-17-7
TL Number from the TL Form: C711157
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: 06/17/2016
Date that the sample was received by the laboratory/organization performing the testing: 06/20/2016
The quantity of what the sample constitutes: 4
A brief description of the sample: Hoop Couplers
From where was the sample collected: Fabricator
Laboratory sample identification: C01
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Harris Rebar

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: Nippon Steel
Intermediate Assembler or Fabricator: Unknown
Rebar Size: #6
Coupler Model: OS Clip
Coating Standards: Uncoated
Shape of Rebar: Hoop
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): M34795 53518
Rebar Heat Number(s): SE14104688
Rebar Size 2 : NA
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2016-06-17-7-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 06/22/2016
Date Tested: 06/22/2016
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)Peak Load (lbf)Peak Stress (psi)CommentsTested By
1C01#6/19mm0.444345098750Service SpliceBrian
UTM 400KIP
Temperature 72 F

Test 2 of 3

DIME Test ID: 2016-06-17-7-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 06/22/2016
Date Tested: 06/22/2016
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)Peak Load (lbf)Peak Stress (psi)CommentsTested By
2C01#6/19mm0.444199095430Service SpliceBrian
UTM 400KIP
Temperature 72 F

Test 3 of 3

DIME Test ID: 2016-06-17-7-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 06/22/2016
Date Tested: 06/22/2016
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)Peak Load (lbf)Peak Stress (psi)CommentsTested By
3C01#6/19mm0.444188095180Service SpliceBrian
UTM 400KIP
Temperature 72 F