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Sample Record for 2021-08-27-3

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Project Information

Project ID: 214995 DEA: 040J5304 EFIS: 0414000010 QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-880-11.4/12.2
Work Description: PATTERSON SLOUGH BRIDGE DECK REHAB
Location Description: ALAMEDA COUNTY IN FREMONT FROM 0.4 MILE SOUTH TO 0.4 MILE NORTH OF PATTERSON SLOUGH BRIDGE
Contractor Name: OC Jones
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Rodelio Baluyot Structure Rep.: Dave Nguyen

Sample Information

DIME Sample ID: 2021-08-27-3
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: 08/27/2021
Date that the sample was received by the laboratory/organization performing the testing: 09/01/2021
The quantity of what the sample constitutes: x
A brief description of the sample: Lennton A2
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: C and N Reinforcing

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Cascade Steel
Coupler Manufacturer: Lenton
Intermediate Assembler or Fabricator: C and N Reinforcing
Rebar Size: #11
Coupler Model: A2
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): A180950
Rebar Heat Number(s): 149821
Rebar Size 2 : 11
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2021-08-27-3-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 09/07/2021
Date Tested: 09/03/2021
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
SampleNumber of CyclesSizeMfg. Lot Number(s)Slip (inch)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
1No. 11/36mm1-0.00381.5613924989262Service Splicebewing
UTM 400kip
Temperature 72.00 f
Halo ID Small

Test 2 of 3

DIME Test ID: 2021-08-27-3-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 09/07/2021
Date Tested: 09/03/2021
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
SampleNumber of CyclesSizeMfg. Lot Number(s)Slip (inch)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
2No. 11/36mm101.5614310491733Service Splicebewing
UTM 400kip
Temperature 72.00 f
Halo ID

Test 3 of 3

DIME Test ID: 2021-08-27-3-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Cyclical/Fatique Tensile with Slip)
Verified Date: 09/07/2021
Date Tested: 09/03/2021
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
SampleNumber of CyclesSizeMfg. Lot Number(s)Slip (inch)Area (sqin)Peak Load (lbf)Peak Stress (psi)CommentsTested By
3No. 11/36mm101.5614304991698Service Splicebewing
UTM 400kip
Temperature 72.00 f
Halo ID