Sample Record for 2021-05-19-3
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214795 DEA: 030H3424 EFIS: 0317000153
QA Service Level: 1
DIST-CO-RTE-PM: 03-SAC-99-22.6
Work Description: REPLACE BRIDGE DECK WITH PRESTRESSED CONCRETE BOX GIRDER.
Location Description: SACRAMENTO COUNTY IN SACRAMENTO AT 21ST AVENUE UNDERCROSSING
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 4950 Allison Parkway, # A, Vacaville, CA 95688
Resident Engineer: Howard Giang Structure Rep.: Brandon Miller
Sample Information
DIME Sample ID: 2021-05-19-3
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 05/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 05/20/2021
The quantity of what the sample constitutes: 3 lots
A brief description of the sample: #6 Lenton form savers
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 24-0154
Structure name: 21st Ave Undercrossing
The fabricator/manufacturer/facility name: ConFab
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: Erico
Intermediate Assembler or Fabricator: PTS Masonry at Confab
Rebar Size: #6
Coupler Model: Formsaver
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): Erico heat 201852 lot 9783 and 9809
Rebar Heat Number(s): 4105278 4101843
Rebar Size 2 : 6
Coupler Unique ID:
Test Results
Test 1 of 6
DIME Test ID: 2021-05-19-3-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 05/20/2021
Date Tested: 05/20/2021
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 Tested
|
1
|
Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | 1 | | No. 6/19mm | 1 | -0.0032 | 0.44 | 41730 | 94842 | Service Splice | bewing |
| |
UTM
|
400kip
|
Temperature
|
72.00 f
|
Halo ID
|
Small
|
Test 2 of 6
DIME Test ID: 2021-05-19-3-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 05/20/2021
Date Tested: 05/20/2021
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 Tested
|
1
|
Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | 2 | | No. 6/19mm | 1 | 0 | 0.44 | 41352 | 93981 | Service Splice | bewing |
| |
UTM
|
400kip
|
Temperature
|
72.00 f
|
Halo ID
|
|
Test 3 of 6
DIME Test ID: 2021-05-19-3-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 05/20/2021
Date Tested: 05/20/2021
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 Tested
|
1
|
Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | 3 | | No. 6/19mm | 1 | 0 | 0.44 | 41218 | 93677 | Service Splice | bewing |
| |
UTM
|
400kip
|
Temperature
|
72.00 f
|
Halo ID
|
|
Test 4 of 6
DIME Test ID: 2021-05-19-3-4
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 05/20/2021
Date Tested: 05/20/2021
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 Tested
|
1
|
Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | 1 | | No. 6/19mm | 2 | -0.003 | 0.44 | 41553 | 94438 | Service Splice | bewing |
| |
UTM
|
400kip
|
Temperature
|
72.00 f
|
Halo ID
|
Small
|
Test 5 of 6
DIME Test ID: 2021-05-19-3-5
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 05/20/2021
Date Tested: 05/20/2021
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 Tested
|
1
|
Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | 2 | | No. 6/19mm | 2 | 0 | 0.44 | 41566 | 94468 | Service Splice | bewing |
| |
UTM
|
400kip
|
Temperature
|
72.00 f
|
Halo ID
|
|
Test 6 of 6
DIME Test ID: 2021-05-19-3-6
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 05/20/2021
Date Tested: 05/20/2021
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 Tested
|
1
|
Sample | Number of Cycles | Size | Mfg. Lot Number(s) | Slip (inch) | Area (sqin) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | 3 | | No. 6/19mm | 2 | 0 | 0.44 | 41886 | 95195 | Service Splice | bewing |
| |
UTM
|
400kip
|
Temperature
|
72.00 f
|
Halo ID
|
|