Sample Record for 2026-04-30-7
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: Dean Russu Structure Rep.: Dave Lewis
Sample Information
DIME Sample ID: 2026-04-30-7
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 Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 04/30/2026
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 35163 lbs
A brief description of the sample: #10 HRC 150 T-heads
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Pacific Steel
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 3500043899
Head Manufacturer Lot Number(s): C258173
Rebar Size: #10
Headed Bar Model Name: HRC T150
Size of Head: Full Size - 9x
Head Connection Type:
Head Shape: Circular
Rebar Manufacturer: Nucor
Head Manufacturer: Wilton
Head Fabricator: HRC
Material Standard Code: ASTM A706
Headed Bar Unique ID: 9FW-17-04
Test Results
