Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
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
DIME Sample ID: 2026-02-12-1
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Sample Organization Contact: (213) 505-4213
Type of Sample: Quality Assurance
Type of Material: SMTL TM4 - Prestressing Strand
Sample Taken Date: 02/12/2026
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 2
A brief description of the sample: 0.6 A416 PT Strand
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sumiden Wire Products Corporation
Comments:
Reel/Coil/Pack Number(s): S381133-1, S381136-4
Number of Coils:
Group Number:
Strand Diameter: .6 in
Grade: 270
Strand Specification: ASTM A 416
Heat Number(s): S0554125, S0550225
Mfg. Lot Number(s): NA
Manufacturer(s): Sumiden Wire Products Corporation
