Sample Record for 2025-11-04-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994326 DEA: 051C3604 EFIS: 0512000134
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-217-0.9/1.4
Work Description: REPLACE BRIDGE.
Location Description: SANTA BARBARA COUNTY NEAR GOLETA FROM 0.2 MILE EAST OF GOLETA SLOUGH BRIDGE TO 0.4 MILE EAST OF SAN JOSE CREEK BRIDGE
Contractor Name: MCM CONSTRUCTION
Contractor Address: 6413 32nd Street, North Highlands, Ca 95660
Resident Engineer: Manny Yogarajah Structure Rep.: Fabian Velasco
Sample Information
DIME Sample ID: 2025-11-04-6
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3675 - Santa Barbara 1
Sample Organization Contact: (805) 441-6932
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 11/04/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/13/2025
The quantity of what the sample constitutes: 4
A brief description of the sample: Zaploock #5 Rebar Coupler
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Nucor BarSplice
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A615
Material Grade: 60
Rebar Manufacturer: Cascade
Coupler Manufacturer: Barsplice and Nucor
Intermediate Assembler or Fabricator:
Rebar Size: #5
Coupler Model: Zap Screwlok Type 2
Coating Standards: ASTM A934 epoxy
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 74134732
Rebar Heat Number(s): 1201060250
Rebar Size 2 :
Coupler Unique ID: SL-17-03
Test Results
Test 1 of 1
DIME Test ID: 2025-11-04-6-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 11/20/2025
Date Tested: 11/20/2025
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:
Test Result Compliance:
Additional Comments When Verified:
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Number of Samples
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4
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| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Slip (inch) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 1 | 5 | 0.31 | 0.006 | 25300 | 81500 | ok necking | Kleinfelder | | 2 | 1 | 5 | 0.31 | 0000 | 25490 | 82000 | ok necking | Kleinfelder | | 3 | 1 | 5 | 0.31 | 0000 | 26770 | 86500 | ok necking | Kleinfelder | | 4 | 1 | 5 | 0.31 | 0000 | 25880 | 83500 | ok necking | Kleinfelder |
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Temperature
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0 f
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UTM
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NA
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Halo ID
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na
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