Sample Record for 2026-09-04-1
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: 2026-09-04-1
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: 09/04/2026
Date that the sample was received by the laboratory/organization performing the testing: 09/10/2026
The quantity of what the sample constitutes: 20 couplers
A brief description of the sample: SL-17-03 ScrewLok type 2 coupler
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Camblin Steel
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Service
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Manufacturer: CMC Steel Arizona
Coupler Manufacturer: BarSplice
Intermediate Assembler or Fabricator:
Rebar Size: #11
Coupler Model: Zap Screwlok
Coating Standards: Uncoated
Shape of Rebar: Straight
Rebar Hoop Diameter:
Rebar Hoop Fabricator:
Coupler Component Heat/Lot Number(s): 4000035449
Rebar Heat Number(s): 9013289
Rebar Size 2 :
Coupler Unique ID: SL-17-03
Test Results
Test
DIME Test ID: 2026-09-04-1-1
Test Method: CTM 670-December 2013: Method of Tests for Mechanical and Welded Reinforcing Steel Splices (Tensile Slip)
Verified Date: 09/17/2026
Date Tested: 09/17/2026
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 | 111 | 1.56 | 0.0083 | 148120 | 94949 | NA | Atlas | | 2 | 1 | 11 | 1.56 | 0 | 149040 | 95538 | NA | Atlas | | 3 | 1 | 11 | 1.56 | 0 | 148150 | 94968 | NA | Atlas | | 4 | 1 | 11 | 1.56 | 0 | 148800 | 95385 | NA | Atlas |
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Temperature
|
0 f
|
|
UTM
|
NA
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|
Halo ID
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NA
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