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Sample Record for 2016-07-13-11

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

Project Information

Project ID: 209918 DEA: 07274804 EFIS: 0700000516 QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-18-0.2
Work Description: REPLACE BRIDGE DECK AND RAILING, REPAIR BENT CAPS AND COLUMNS.
Location Description: LOS ANGELES COUNTY AT LLANO AT COUNTY LINE OVERHEAD
Contractor Name: MCM Construction - Cliff Dawley
Contractor Address: PO Box 620, North Highlands, Ca 95660
Resident Engineer: Mansukh Vazirani Structure Rep.: Sarah Hartz

Sample Information

DIME Sample ID: 2016-07-13-11
TL Number from the TL Form: C866877
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: 07/13/2016
Date that the sample was received by the laboratory/organization performing the testing: 07/22/2016
The quantity of what the sample constitutes: 4
A brief description of the sample: Double Barrel Zap Screwlok
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Barsplice Arceiormittal Nucor

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Arcelormittal Nucor
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator: Unknown
Rebar Size: #5
Coupler Model: Double Barrel Zap
Coating Standards: ASTM A775
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): 5119
Rebar Heat Number(s): 1523113, PL1520843351
Rebar Size 2 : NA
Coupler Unique ID:

Test Results

Test 1 of 3

DIME Test ID: 2016-07-13-11-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 07/25/2016
Date Tested: 07/22/2016
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)Peak Load (lbf)Peak Stress (psi)CommentsTested By
13#5/16mm0.312635085000Service SpliceFred
UTM 400KIP
Temperature 72 F

Test 2 of 3

DIME Test ID: 2016-07-13-11-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 07/25/2016
Date Tested: 07/22/2016
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)Peak Load (lbf)Peak Stress (psi)CommentsTested By
23#5/16mm0.312886093100Service SpliceFred
UTM 400KIP
Temperature 72 F

Test 3 of 3

DIME Test ID: 2016-07-13-11-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile)
Verified Date: 07/25/2016
Date Tested: 07/22/2016
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)Peak Load (lbf)Peak Stress (psi)CommentsTested By
33#5/16mm0.312639085130Service SpliceFred
UTM 400KIP
Temperature 72 F