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Sample Record for 2018-08-13-5

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

Project Information

Project ID: 213153 DEA: 044S7804 EFIS: 0400020145 QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN-1-24.7
Work Description: REPLACE EXISTING CULVERTS WITH 36' REINFORCED CONCRETE SLAB BRIDGE.
Location Description: MARIN COUNTY NEAR OLEMA AT 1.8 MILES SOUTH OF SIR FRANCIS DRAKE BOULEVARD
Contractor Name: BRIDGEWAY CIVIL CONSTRUCTORS, INC.
Contractor Address: 4950 Allison Parkway, # A, Vacaville, CA 95688
Resident Engineer: Steve Russell Structure Rep.: Janine Marr

Sample Information

DIME Sample ID: 2018-08-13-5
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT SC - 3672 - Fairfield
Sample Organization Contact: (510) 393-9778
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 08/13/2018
Date that the sample was received by the laboratory/organization performing the testing: 08/15/2018
The quantity of what the sample constitutes: 4
A brief description of the sample: coupler nunber 4
From where was the sample collected: Job Site
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Harris Rebar

Material Information

Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: Dextra America
Coupler Manufacturer: Bartec
Intermediate Assembler or Fabricator: Harris rebar
Rebar Size: 4
Coupler Model: number 4
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter: Unknown
Rebar Hoop Fabricator: Unknown
Coupler Component Heat/Lot Number(s): B4HMC01AAT2
Rebar Heat Number(s): DL12102189
Rebar Size 2 : 4
Coupler Unique ID:

Test Results

Test 1 of 4

DIME Test ID: 2018-08-13-5-2
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 08/17/2018
Date Tested: 08/17/2018
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)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
11#4/13mm0.20.00051753387665Service SpliceBrian
Temperature 72 F
UTM 400KIP
Halo ID Small

Test 2 of 4

DIME Test ID: 2018-08-13-5-3
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 08/17/2018
Date Tested: 08/17/2018
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)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
21#4/13mm0.201569378465Service SpliceBrian
Temperature 72 F
UTM 400KIP
Halo ID Small

Test 3 of 4

DIME Test ID: 2018-08-13-5-4
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 08/17/2018
Date Tested: 08/17/2018
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)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
31#4/13mm0.201822991145Service SpliceBrian
Temperature 72 F
UTM 400KIP
Halo ID Small

Test 4 of 4

DIME Test ID: 2018-08-13-5-5
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 08/17/2018
Date Tested: 08/17/2018
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)Slip (inch)Peak Load (lbf)Peak Stress (psi)CommentsTested By
41#4/13mm0.201762888140Service SpliceBrian
Temperature 72 F
UTM 400KIP
Halo ID Small

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2018-08-13-5-1CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)08/14/2018Not scheduled JANINE MARRCT HQ - Sacramento Structural Materials Testing Laboratory