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Testing Report for 2021-05-19-3-2

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

Project Information

DEA: 030H3424
EFIS: 0317000153
Project ID: 214795
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: Unknown
Contractor Address: Unknown
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 QASI - Sacramento Field Laboratory
Sample Organization Contact: (916) 227-7263
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 5/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 5/20/2021
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

Test Information

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)
Date Tested: 5/20/2021
Verified Date: 5/20/2021
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: Service Splice
Test Result Compliance:
Additional Comments When Verified :

Submitted Test Results

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: