Sample Record for 2026-07-22-4
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000707 DEA: 041Q5824 EFIS: 0421000263
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0/21.8
Work Description: REHABILITATE PAVEMENT, UPGRADE SIGNS, GUARDRAIL, AND T
Location Description: SAN MATEO COUNTY FROM SAN MATEO COUNTY LINE IN EAST PALO ALTO TO 0.2 MILES NORTH OF COLMA CREEK BRIDGE IN SOUTH SAN FRANCISCO.
Contractor Name: Bay Cities Paving & Grading
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Ethan Malonzo Structure Rep.: Ricardo Silva Da Costa
Sample Information
DIME Sample ID: 2026-07-22-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Sacramento Field Office
Sample Organization Contact: (916) 2058871
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Couplers
Sample Taken Date: 07/22/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/27/2026
The quantity of what the sample constitutes: 4 Coupler Assemblies
A brief description of the sample: #14 to #18 Transition Screwlok
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Camblin Steel
Material Information
Production or Authorization Testing: Authorization Testing
Service or Ultimate: Ultimate
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC Steel Texas
Coupler Manufacturer: BarSplice Products Inc
Intermediate Assembler or Fabricator:
Rebar Size: #14
Coupler Model: ZaP Screwlok Transition Coupler
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 4000024281
Rebar Heat Number(s): 3120178, 3141042
Rebar Size 2 : 18
Coupler Unique ID: SLT-20-03
Test Results
Test
DIME Test ID: 2026-07-22-4-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 08/04/2026
Date Tested: 08/04/2026
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:
|
Number of Samples
|
4
|
| Sample | Mfg. Lot Number(s) | Size | Area (sqin) | Slip (inch) | Peak Load (lbf) | Peak Stress (psi) | Comments | Tested By | | 1 | 1 | 14/18 | 2.25 | 0.022 | 216130 | 96000 | service splice | Kleinfelder | | 2 | 1 | 14/18 | 2.25 | 0000 | 212860 | 94500 | service splice | Kleinfelder | | 3 | 1 | 14/18 | 2.25 | 0000 | 206890 | 92000 | service splice | Kleinfelder | | 4 | 1 | 14/18 | 2.25 | 0000 | 210850 | 93500 | service splice | Kleinfelder |
| |
|
Temperature
|
0 f
|
|
UTM
|
NA
|
|
Halo ID
|
na
|
