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Sample Record for 2016-06-13-8

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

Project Information

Project ID: 209918 DEA: 07274804 EFIS: 0700000516 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-18-0.2
Work Description: REPLACE BRIDGE DECK AND RAILING, REPAIR BENT CAPS AND COLUMNS.
Location Description: LOS ANGELES COUNTY AT LLANO AT COUNTY LINE OVERHEAD
Contractor Name: MCM Construction - Cliff Dawley
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Mansukh Vazirani Structure Rep.: Sarah Hartz

Sample Information

DIME Sample ID: 2016-06-13-8
TL Number from the TL Form: C409455
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: 06/13/2016
Date that the sample was received by the laboratory/organization performing the testing: 06/23/2016
The quantity of what the sample constitutes: 4
A brief description of the sample: Double Barrel Zap Screwlok
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Barsplice Integrity Rebar

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Integrity Rebar
Coupler Manufacturer: Barsplice
Intermediate Assembler or Fabricator: Unknown
Rebar Size: #4
Coupler Model: Double Barrel Zap ScrewLok
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): 5155
Rebar Heat Number(s): 1512769
Rebar Size 2 : NA
Coupler Unique ID:

Test Results

Test 1 of 4

DIME Test ID: 2016-06-13-8-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 06/27/2016
Date Tested: 06/27/2016
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: does not comply
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
11#4/13mm0.21561078050Service SpliceFred
UTM 400KIP
Temperature 72 F

Test 2 of 4

DIME Test ID: 2016-06-13-8-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 06/27/2016
Date Tested: 06/27/2016
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
2NA#4/13mm0.21601080050Service SpliceFred
UTM 400KIP
Temperature 72 F

Test 3 of 4

DIME Test ID: 2016-06-13-8-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 06/27/2016
Date Tested: 06/27/2016
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
3NA#4/13mm0.21604080200Service SpliceFred
UTM 400KIP
Temperature 72 F

Test 4 of 4

DIME Test ID: 2016-06-13-8-4
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 06/27/2016
Date Tested: 06/27/2016
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: does not comply
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
4NA#4/13mm0.21596079800Service SpliceFred
UTM 400KIP
Temperature 72 F