Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001404 DEA: 120S3804 EFIS: 1220000058
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-5-10.0/21.3
Work Description: SLAB REPLACEMENT (RSC), RHMA-PAVING, SIGNAL AND LIGHTING MODIFICATION.
Location Description: ORANGE COUNTY FROM EL HORNO STREET UNDERCROSSING IN SAN JUAN CAPISTRANO TO ROUTE 405/5 SEPARATION IN IRVINE
Contractor Name: Beador Construction
Contractor Address: 2900 Bristol Street, Suite D 204, Costa Mesa, CA 92626
Resident Engineer: Artin Merati Structure Rep.: Michael Yee
DIME Sample ID: 2026-07-10-29
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: 07/10/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/14/2026
The quantity of what the sample constitutes: 2 Packs
A brief description of the sample: 0.600" 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): S381219-3
Number of Coils:
Group Number:
Strand Diameter: .6 in
Grade: 270
Strand Specification: ASTM A 416
Heat Number(s): S0253278
Mfg. Lot Number(s): NA
Manufacturer(s): Sumiden Wire
