Sample Record for 2026-04-21-26
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001123 DEA: 051H4704 EFIS: 0516000078
QA Service Level: 1
DIST-CO-RTE-PM: 05-SCR-9-9-13.6,15.5
Work Description: REPLACE BRIDGES AND INSTALL MGS.
Location Description: SANTA CRUZ COUNTY NEAR BOULDER CREEK AT SAN LORENZO RIVER BRIDGE AND AT KINGS CREEK BRIDGE
Contractor Name: GORDON N. BALL, INC.
Contractor Address: Unknown
Resident Engineer: Gareth Gill Structure Rep.: Jarred Burrows
Sample Information
DIME Sample ID: 2026-04-21-26
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: 04/21/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/22/2026
The quantity of what the sample constitutes: NA
A brief description of the sample: Double Barrel Couplers #4
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: C&N Reinforcing
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: Bar Splice
Intermediate Assembler or Fabricator:
Rebar Size: #4
Coupler Model: Double Barrel Zap Screwlok
Coating Standards: ASTM A934 epoxy
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 1043
Rebar Heat Number(s): 4156763
Rebar Size 2 :
Coupler Unique ID: SB-17-02
Test Results
Test
DIME Test ID: 2026-04-21-26-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 05/04/2026
Date Tested: 05/04/2026
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: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
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 | 4 | 0.20 | 0000 | 19195 | 95980 | service splice | WSP | | 2 | 1 | 4 | 0.20 | 0000 | 18810 | 94050 | service splice | WSP | | 3 | 1 | 4 | 0.20 | 0000 | 19025 | 95130 | service splice | WSP | | 4 | 1 | 4 | 0.20 | 0000 | 18700 | 93500 | service splice | WSP |
| |
|
Temperature
|
0 f
|
|
UTM
|
NA
|
|
Halo ID
|
na
|
