Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001108 DEA: 061A0904 EFIS: 0620000065
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-168-49.1/49.5
Work Description: SHAVER LAKE VIADUCT. CONSTRUCT SIDEHILL VIADUCT STRUCTURE.
Location Description: FRESNO COUNTY NEAR SHAVER LAKE FROM 1.3 MILES EAST OF DALTON AVENUE TO 0.2 MILE WEST OF HUNTINGTON LAKE ROAD.
Contractor Name: Viking Construction Company, Inc. (Zander Newman)
Contractor Address: 3835 security park drive, Rancho Cordova, CA 95742
Resident Engineer: Mohammed Alqutami Structure Rep.: Martin Garcia
DIME Sample ID: 2026-04-24-7
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: 04/24/2026
Date that the sample was received by the laboratory/organization performing the testing: 04/24/2026
The quantity of what the sample constitutes: 64
A brief description of the sample: #8x 4'-7", ASTM A706 Gr. 60
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TNT Rebar Cascade
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 1202071900
Hoop Manufacturer Lot Number(s): 1-16
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #8
Diameter of Hoop: 4'-7"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Cascade Steel
Welding Company: TNT Rebar Company
Coating Standards: Uncoated
Weld Type: Flash Welded
