Sample Record for 2025-09-23-9
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Project Information
Project ID: 1000403 DEA: 120K91U4 EFIS: 1222000031
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-91-R9.2/R11.4
Work Description: CONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY IN ANAHEIM FROM 0.9 MILE WEST TO 1.3 MILES EAST OF LAKEVIEW AVENUE OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 16700 Valley View Avenue Suite 300
Resident Engineer: Steve Kinaly Structure Rep.: Wei-Jen Lee
Sample Information
DIME Sample ID: 2025-09-23-9
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Richmond
Sample Organization Contact: (510) 231-7108
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 09/23/2025
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 648 pieces
A brief description of the sample: HRC 555 Heads & HRC 510 Bars
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier: 55-1143
Structure name: Lakeview Ave OC
The fabricator/manufacturer/facility name: CMC San Bernardino
Material Information
Production or Authorization Testing: Authorization Testing
Rebar Heat Number(s): 4149386
Head Manufacturer Lot Number(s): 1 to 5
Rebar Size: #6
Headed Bar Model Name: HRC 555
Size of Head: Reduced Size - 4x
Head Connection Type: Forged
Head Shape: Circular
Rebar Manufacturer: CMC HRC
Head Manufacturer: HRC
Head Fabricator: CMC HRC
Material Standard Code: ASTM A706
Headed Bar Unique ID: 4FG-17-01
Test Results
