Sample Record for 2026-04-09-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001645 DEA: 051R1004 EFIS: 0523000125
QA Service Level: 1
DIST-CO-RTE-PM: 05-SLO, -1-32.6
Work Description: BRIDGE REPLACEMENT, HMA, AND RSP PROTECTION.
Location Description: SAN LUIS OBISPO COUNTY NEAR MORRO BAY AT TORO CREEK BRIDGE
Contractor Name: SOUZA CONSTRUCTION
Contractor Address: 4027 Santa Fe Road, San Luis Obispo, CA 93403
Resident Engineer: Rick Silva Structure Rep.: Dave Luis
Sample Information
DIME Sample ID: 2026-04-09-2
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 04/09/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/07/2026
The quantity of what the sample constitutes: 76
A brief description of the sample: #5 x 1'-6"
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TNT Rebar
Material Information
Production or Authorization Testing: Authorization Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 076026
Hoop Manufacturer Lot Number(s): 1 - 19
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #5
Diameter of Hoop: 1'-6"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade Steel
Welding Company: TNT Rebar Company
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results