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Sample Record for 2016-09-02-5

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: 2016-09-02-5
TL Number from the TL Form: C866886
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: 09/02/2016
Date that the sample was received by the laboratory/organization performing the testing: 09/08/2016
The quantity of what the sample constitutes: 4
A brief description of the sample: Couplers
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: CMC BarSplice

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator: Unknown
Rebar Size: 6
Coupler Model: DBL BRL Zap Screwlok
Coating Standards: ASTM A775
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): 5048
Rebar Heat Number(s): PL1520807051
Rebar Size 2 :
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2016-09-02-5-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 09/09/2016
Date Tested: 09/08/2016
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:
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
21#6/19mm0.443302075050Service SpliceBrian
UTM 400KIP
Temperature 72 F

Test 2 of 3

DIME Test ID: 2016-09-02-5-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 09/09/2016
Date Tested: 09/08/2016
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:
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
31#6/19mm0.443146071500Service SpliceBrian
UTM 400KIP
Temperature 72 F

Test 3 of 3

DIME Test ID: 2016-09-02-5-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 09/09/2016
Date Tested: 09/08/2016
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:
Additional Comments When Verified:
Number of Samples 1
SampleMfg. Lot Number(s)SizeArea (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
41#6/19mm0.442927066520Service SpliceBrian
UTM 400KIP
Temperature 72 F