Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001987 DEA: 043X7404 EFIS: 0425000317 MINOR: 04A7375
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-24-5.1-5.4
Work Description: Repair roadway settlement and reconstruct HMA dikes and MGS.
Location Description: On State Route Eastbound 25 in the city of Lafayette, Contra Costa County
Contractor Name: Brannon Corporation
Contractor Address: 10492 Dougherty Avenue, Morgan Hill, CA 95037
Resident Engineer: Ramin Kalantari Structure Rep.: Unknown
DIME Sample ID: 2026-07-14-69
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: 07/14/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/17/2026
The quantity of what the sample constitutes: 1 Pack
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): S381272-9
Number of Coils:
Group Number:
Strand Diameter: .6 in
Grade: 270
Strand Specification: ASTM A 416
Heat Number(s): S0254262
Mfg. Lot Number(s): NA
Manufacturer(s): Sumiden Wire
