Sample Record for 2025-12-09-35
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Project Information
Project ID: 995493 DEA: 081G6704 EFIS: 0816000049
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-79-5.4/11.4
Work Description: HOT MIX ASPHALT, SOIL NAIL, STRUCTURAL CONCRETE AND ROADWAY EXC.
Location Description: RIVERSIDE COUNTY NEAR TEMECULA FROM 0.4 MILE SOUTH OF SAGE ROAD TO 1.1 MILES SOUTH OF PAUBA ROAD
Contractor Name: ORTIZ ENTERPRISES, INC.
Contractor Address: 6 CUSHING STE 200, IRVINE, CA 92618
Resident Engineer: Osama Abdalla Structure Rep.: Arnel Vega
Sample Information
DIME Sample ID: 2025-12-09-35
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (530) 329-6527
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 12/09/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/12/2025
The quantity of what the sample constitutes: 2
A brief description of the sample: A615 Bar
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dywidag Systems
Material Information
Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A615
Threaded Bar Grade: 75
Threaded Bar Type: Deformed
Rebar Size: #8
Nut Specification for Threaded Bar: A519
System Manufacturer: Dywidag Systems
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: Uncoated
Bar Heat Number(s): 5912571202, 5806698304
Nut Heat Number(s): 74136318
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:
Test Results
