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Sample Record for 2016-12-05-2

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

Project Information

Project ID: 211579 DEA: 010G3404 EFIS: 0116000171 QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-101-93.45
Work Description: Repair slipout
Location Description: IN MENDOCINO COUNTY ABOUT 10 MILES SOUTH OF PIERCY AT 0.4 MILE NORTH OF JITNEY GULCH BRIDGE
Contractor Name: GHILOTTI CONSTRUCTION COMPANY
Contractor Address: 246 GHILOTTI AVENUE, SANTA ROSA, CA 95407
Resident Engineer: Sheri Rodriguez Structure Rep.: Christian Santos

Sample Information

DIME Sample ID: 2016-12-05-2
TL Number from the TL Form: C758283
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (916) 227-7253
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 12/05/2016
Date that the sample was received by the laboratory/organization performing the testing: 12/07/2016
The quantity of what the sample constitutes: 4
A brief description of the sample: HRC Couplers
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Nucor HRC

Material Information

Production or Authorization Testing: Authorization Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Nucor
Coupler Manufacturer: HRC
Intermediate Assembler or Fabricator: Unknown
Rebar Size: 6
Coupler Model: HRC 500/510
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): NC15200792 T2 Nc15101644 T2
Rebar Heat Number(s): SE1610312302
Rebar Size 2 :

Test Results

Test 1 of 4

DIME Test ID: 2016-12-05-2-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 12/09/2016
Date Tested: 12/08/2016
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bar Broke,Ok Necking
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
1#6/19mm0.44-0.003650028113700Bar Broke,Ok NeckingBrian
Temperature 72 F
UTM 400KIP
Halo ID Small

Test 2 of 4

DIME Test ID: 2016-12-05-2-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 12/09/2016
Date Tested: 12/08/2016
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bar Broke in Coupler
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
2#6/19mm0.44049616112760Bar Broke in CouplerBrian
Temperature 72 F
UTM 400KIP
Halo ID Small

Test 3 of 4

DIME Test ID: 2016-12-05-2-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 12/09/2016
Date Tested: 12/08/2016
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bar Broke,Ok Necking
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
3#6/19mm0.44051275116530Bar Broke,Ok NeckingBrian
Temperature 72 F
UTM 400KIP
Halo ID Small

Test 4 of 4

DIME Test ID: 2016-12-05-2-4
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 12/09/2016
Date Tested: 12/08/2016
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test: Bar Broke in Coupler
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
4#6/19mm0.44044591101340Bar Broke in CouplerBrian
Temperature 72 F
UTM 400KIP
Halo ID Small

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.