Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001197 DEA: 07319604 EFIS: 0716000025
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-1,101-21.3/21.9,R34.9/R36.1
Work Description: REMOVE AND CONSTRUCT BRIDGE.
Location Description: VENTURA COUNTY ON ROUTE 1 FROM 1.8 MILES NORTH OF ROUTE 1/33 SEPARATION TO 2.0 MILES SOUTH OF A LEASE CANYON ROAD AND ON ROUTE 101 FROM 0.4 MILE NORTH OF DULAH ROAD UNDERCROSSING TO SAN MIGUELITO ROAD UNDERCROSSING
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 BRISTOL STREET, SUITE D204, COSTA MESA, CA 92626
Resident Engineer: Ranjit Singh Structure Rep.: Unknown
DIME Sample ID: 2026-02-20-15
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: Authorization
Type of Material: SMTL TM6 - Ductile Iron Cast Samples
Sample Taken Date: 02/20/2026
Date that the sample was received by the laboratory/organization performing the testing: 02/25/2026
The quantity of what the sample constitutes: 133
A brief description of the sample: A536 Ductile Iron Castings
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dywidag Systems
Heat Number (s): L175 L025
Part Number (s): 68 12 216 246
Material Specification: A536
Grades: 65-45-12
Metal Foundry Manufacturer (Mill): Farrar
Prestressing Manufacturer: Dywidag Systems
