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Sample Record for 2016-10-12-8

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

Project Information

Project ID: 210696 DEA: 080M2804 EFIS: 0800000472 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-171.8/173.8
Work Description: BRIDGE REPLACEMENT AND WIDEN, CONC AND HMA PVMT, COLD PLANE AC PVMT.
Location Description: In SBD County
Contractor Name: M.C.M. CONSTRUCTION, INC. - Dan Shaw
Contractor Address: P.O. Box 620, North Highlands, CA 95660
Resident Engineer: John Santos Structure Rep.: Faisal Zahlout

Sample Information

DIME Sample ID: 2016-10-12-8
TL Number from the TL Form: C001
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: 10/12/2016
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2016
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: Gerdau, Erico

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Gerdau
Coupler Manufacturer: Erico
Intermediate Assembler or Fabricator: Unknown
Rebar Size: #8
Coupler Model: EL25A2
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): L8278
Rebar Heat Number(s): 6502492202
Rebar Size 2 :
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2016-10-12-8-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 10/19/2016
Date Tested: 10/19/2016
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)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
11#8/25mm0.79-0.00237059089354Service SpliceFred
Temperature 72 F
UTM 400KIP
Halo ID Small

Test 2 of 3

DIME Test ID: 2016-10-12-8-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 10/19/2016
Date Tested: 10/19/2016
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)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
21#8/25mm0.7907405093734Service SpliceFred
Temperature 72 F
UTM 400KIP
Halo ID Small

Test 3 of 3

DIME Test ID: 2016-10-12-8-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 10/19/2016
Date Tested: 10/19/2016
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)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
31#8/25mm0.7907380093418Service SpliceFred
Temperature 72 F
UTM 400KIP
Halo ID Small