Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1002002 DEA: 010Q4204 EFIS: 0125000176
QA Service Level: 1
DIST-CO-RTE-PM: 01-MEN-175-6.2/6.4
Work Description:
Location Description:
Contractor Name: REGE CONSTRUCTION INC
Contractor Address: 600 SANTANA DRIVE, CLOVERDALE, CA 95425
Resident Engineer: Peng Chen Structure Rep.: Hunter Monnot
DIME Sample ID: 2026-06-16-59
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: 06/16/2026
Date that the sample was received by the laboratory/organization performing the testing: 06/22/2026
The quantity of what the sample constitutes: 1
A brief description of the sample: .6in Prestressing 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): S0513226
Mfg. Lot Number(s): S381242-2
Manufacturer(s): Sumiden Wire
