Sample Record for 2026-08-20-1
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001469 DEA: 120K62U4 EFIS: 1224000090
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA,-5-R25.8/30.3
Work Description: CONST BRIDGE, RW, SW, PAVEMENT, DRAINAGE, AND ELECTRICAL SYSTEMS.
Location Description: ORANGE COUNTY IN IRVINE AND TUSTIN FROM YALE AVENUE OVERCROSSING TO ROUTE 5/55 SEPARATION
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 16700 Valley View Avenue Suite 300, La Mirada, CA 90638
Resident Engineer: Carter Cox Structure Rep.: Younho Rew
Sample Information
DIME Sample ID: 2026-08-20-1
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 Assurance
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 08/20/2026
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 22
A brief description of the sample: #9 Rebar with HRC 555 Head
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martinez steel
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 307326
Head Manufacturer Lot Number(s): 307326
Rebar Size: #9
Headed Bar Model Name: Type 555
Size of Head: Full Size - 9x
Head Connection Type:
Head Shape: Circular
Rebar Manufacturer: Cascade Steel
Head Manufacturer: Martinez Steel
Head Fabricator: Headed Reinforcement Corp
Material Standard Code: ASTM A706
Headed Bar Unique ID: 4FG-17-01
Test Results