Sample Record for 2026-02-06-6
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: 2026-02-06-6
TL Number from the TL Form:
Sample Submitted By Organization: MCM Construction, Incorporated
Sample Organization Contact: (714) 305-2728
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 02/06/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/09/2026
The quantity of what the sample constitutes: 150
A brief description of the sample: #9 Zap Screwlok mech coupler
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: BarSplice Products, Inc
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: BarSplice
Intermediate Assembler or Fabricator:
Rebar Size: #9
Coupler Model: 09SZBA_A92
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 4000027982
Rebar Heat Number(s): 485725
Rebar Size 2 : 9
Coupler Unique ID: SL-21-02
Test Results
