Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002077 DEA: 033H5904 EFIS: 0318000017
QA Service Level: 1
DIST-CO-RTE-PM: 03-UNKNOWN--unknown
Work Description:
Location Description:
Contractor Name: Mercer Fraser
Contractor Address: PO BOX 1006, Eureka, CA 95502
Resident Engineer: Randie Babbini Structure Rep.: Unknown
DIME Sample ID: 2026-05-20-1
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 - Welded Hoops
Sample Taken Date: 05/20/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/26/2026
The quantity of what the sample constitutes: 238 Hoops
A brief description of the sample: #8 x 5'-8" diameter welded hoops
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TNT Rebar
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 1202071906
Hoop Manufacturer Lot Number(s): Lots 1 and 2
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #8
Diameter of Hoop: 5'-8"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor
Welding Company: TNT Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded
