Sample Record for 2026-06-26-3
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000598 DEA: 040Q4804 EFIS: 0418000107
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-84-7.8
Work Description: CONSTRUCT RETAINING WALL, DRAINAGE SYSTEMS, EROSION CONTROL & PLANTING
Location Description: SAN MATEO COUNTY NEAR LA HONDA AT 0.5 MILE WEST OF PESCADERO CREEK ROAD
Contractor Name: Ghilott Bros., Inc.
Contractor Address: 525 Jacoby Street, San Rafael, CA 94901
Resident Engineer: Khalil R. Rahmanyar Structure Rep.: Quang Pham
Sample Information
DIME Sample ID: 2026-06-26-3
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 Control
Type of Material: SMTL TM5 - Welded Hoops
Sample Taken Date: 06/26/2026
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 150 of 572
A brief description of the sample: #5x2'-10" WH
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: TNT Rebar
Material Information
Production or Authorization Testing: Production Testing
Service or Ultimate: Ultimate
Rebar Heat Number(s): 3500047333
Hoop Manufacturer Lot Number(s): Lot 1-3
Material Standard Code: ASTM A706
Material Grade: 60
Rebar Size: #5
Diameter of Hoop: 2'-10"
Epoxy Coated: No
Epoxy Coating Color: NA
Rebar Manufacturer: Nucor
Welding Company: TNT Rebar
Coating Standards: Uncoated
Weld Type: Flash Welded
Test Results
