Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001197 DEA: 07319604 EFIS: 0716000025
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-1,101-21.3/21.9,R34.9/R36.1
Work Description: REMOVE AND CONSTRUCT BRIDGE.
Location Description: VENTURA COUNTY ON ROUTE 1 FROM 1.8 MILES NORTH OF ROUTE 1/33 SEPARATION TO 2.0 MILES SOUTH OF A LEASE CANYON ROAD AND ON ROUTE 101 FROM 0.4 MILE NORTH OF DULAH ROAD UNDERCROSSING TO SAN MIGUELITO ROAD UNDERCROSSING
Contractor Name: BEADOR CONSTRUCTION COMPANY, INC.
Contractor Address: 2900 BRISTOL STREET, SUITE D204, COSTA MESA, CA 92626
Resident Engineer: Ranjit Singh Structure Rep.: Aziz Maghsoudloo
DIME Sample ID: 2026-05-29-26
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 TM6 - Ductile Iron Cast Samples
Sample Taken Date: 05/29/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2026
The quantity of what the sample constitutes: 218
A brief description of the sample: Coupon Casting
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dywidag Systems
Heat Number (s): H075
Part Number (s): 68 27 172
Material Specification: A536
Grades: 80-55-06
Metal Foundry Manufacturer (Mill): Farrar Corporation
Prestressing Manufacturer: Dywidag Systems
DIME Test ID: 2026-05-29-26-1
Test Method: ASTM A370-20: Standard Test Methods and Definitions for Mechanical Testing of Steel Products (Tensile - Round Sample)
Verified Date: 07/07/2026
Date Tested: 06/25/2026
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Number of Samples
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2
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| Sample | Heat Number | Diameter (in) | Area (sqin) | Stress at Offset (psi) | Tensile Strength (psi) | Elongation in 4 x d (%) | Tested By | | 1 | H075 | 0.503 | 0.199 | 58124 | 104724 | 7 | Kleinfelder | | 2 | H075 | 0.503 | 0.199 | 58775 | 108031 | 8 | Kleinfelder |
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UTM
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NA
|
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Temperature
|
0 f
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