Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001248 DEA: 120K93U4 EFIS: 1224000084
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-57,91-13.9/16.1,4.8/6.6
Work Description: CONST BRIDGES, RW, SW, PAVEMENT, DRAINAGE AND ELECTRICAL SYSTEMS.
Location Description: ANAHEIM AND PLACENTIA ON ROUTE 57 FROM WAGNER AVENUE OVERCROSSING TO 0.2 MILE NORTH OF MIRALOMA AVENUE OVERCROSSING AND ON ROUTE 91 FROM 0.1 MILE EAST OF ACACIA STREET UNDERCROSSING TO 0.2 MILE EAST OF LA PALMA AVENUE OVERCROSSING
Contractor Name: OHLA USA, INC
Contractor Address: 2550 East Miraloma Way, Suite 200, Anaheim, CA 92806
Resident Engineer: Charlie Nakamoto Structure Rep.: Lance Yamashiro
DIME Sample ID: 2026-05-13-23
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: 05/13/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/14/2026
The quantity of what the sample constitutes: 3 Packs
A brief description of the sample: 0.6" PT Strand
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Sumiden Wire
Comments:
Reel/Coil/Pack Number(s):
Number of Coils:
Group Number:
Strand Diameter:
Grade: 270
Strand Specification: ASTM A 416
Heat Number(s): S0513926
Mfg. Lot Number(s): S381209-6
Manufacturer(s): Sumiden Wire
