Sample Record for 2026-09-24-4
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000710 DEA: 100P9244 EFIS: 1023000226
QA Service Level: 1
DIST-CO-RTE-PM: 10-MPA-140-42.0/42.7
Work Description: Fergusen Slide Rock Avalanche Shed
Location Description: Mariposa County, along Route 140 in the Merced River canyon, about 8 miles east of Briceburg and 7.6 miles west of El Portal.
Contractor Name: Myers and Sons Construction, LLC/Ralph L. Wadsworth
Contractor Address: 2554 Millcreek Drive, Sacramento, CA 95833
Resident Engineer: Jonathan Ngai Structure Rep.: Sai Kasaraneni
Sample Information
DIME Sample ID: 2026-09-24-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Bay Area Field Office
Sample Organization Contact: (916) 284-6784
Type of Sample: Quality Assurance
Type of Material: SMTL TM5 - Threaded Bar
Sample Taken Date: 09/24/2026
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1 Heat
A brief description of the sample: 3" 150ksi Threaded Bar Assmeblies
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Z Systems, Inc.
Material Information
Production or Authorization Testing: Authorization Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type:
Rebar Size:
Nut Specification for Threaded Bar: .
System Manufacturer: Z Systems
Epoxy Coating Color: NA
Threaded Bar Application:
Coating Standards: Uncoated
Bar Heat Number(s): A262393
Nut Heat Number(s): 40000035490
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s): 40000035490
Coupler Grade:
Test Results
