Sample Record for 2025-12-01-17
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000973 DEA: 101T5604 EFIS: 1025000023
QA Service Level: 1
DIST-CO-RTE-PM: 10-SJ-99-
Work Description: Bridge Girder Repair
Location Description:
Contractor Name: Valentine Corp
Contractor Address: 111 Pelican Way, San Rafael, CA 94901
Resident Engineer: Chris Hanson Structure Rep.: Daniel Laureno
Sample Information
DIME Sample ID: 2025-12-01-17
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (213) 505-4213
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 12/01/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/02/2025
The quantity of what the sample constitutes: 4
A brief description of the sample: Bar-Lock L Series D250L
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Job Site
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: Dayton Superior
Intermediate Assembler or Fabricator:
Rebar Size: #11
Coupler Model: Bar-Lock L Series D250L
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 218130
Rebar Heat Number(s): 9009075
Rebar Size 2 :
Coupler Unique ID: SL-17-06
Test Results
Test 1 of 1
DIME Test ID: 2025-12-01-17-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 12/09/2025
Date Tested: 12/08/2025
Submitted By Organization: Atlas - Oakland
Organization Address: 534 23rd Avenue,
Organization City: Oakland
Organization State: CA
Organization Zipcode: 94606
Organization Email: guillermo.baltazar@oneatlas.com
Organization Phone: (510) 434-3018
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Number of Samples
|
4
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Slip (inch) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1A | 9009075 | 11 | 1.56 | 0.0060 | 143660 | 92090 | NA | Atlas | | 1B | 9009075 | 11 | 1.56 | 0 | 139180 | 89218 | NA | Atlas | | 1C | 9009075 | 11 | 1.56 | 0 | 140850 | 90288 | NA | Atlas | | 1D | 9009075 | 11 | 1.56 | 0 | 141000 | 90385 | NA | Atlas |
| |
|
Temperature
|
72 f
|
|
UTM
|
NA
|
|
Halo ID
|
na
|
