Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001375 DEA: 040A53T4 EFIS: 0421000155 COOP: 040A53TCM
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-L1.8/L3.2
Work Description: Construct I-80 WB Truck Scales
Location Description: CONSTRUCTION ON STATE HIGHWAY IN SOLANO COUNTY IN AND NEAR FAIRFIELD ON ROUTE 12 FROM THE 80/12 EAST JUNCTION TO 0.9 MILE EAST OF CHADBOURNE ROAD UNDERCROSSING AND ON ROUTE 80 FROM 0.5 MILE WEST OF DAN WILSON CREEK BRIDGE TO WEST TEXAS STREET UNDERCROSSI
Contractor Name: Kiewit Infrastructure West Co.
Contractor Address: 4650 Business Center Drive, Fairfield, CA 94534
Resident Engineer: Darren Isada Structure Rep.: Nana Budu
DIME Sample ID: 2026-01-21-40
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 TM4 - Prestressing Strand
Sample Taken Date: 01/21/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/03/2026
The quantity of what the sample constitutes: 6
A brief description of the sample: 3/8" PT Strand
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sumiden
Comments:
Reel/Coil/Pack Number(s): S830202-1, S830202-2, S830202-3, S830202-4, S830202-5, S830202-6
Number of Coils:
Group Number:
Strand Diameter: .375 in
Grade: 270
Strand Specification: ASTM A 416
Heat Number(s): S0531224
Mfg. Lot Number(s): NA
Manufacturer(s): Sumiden
