Sample Record for 2026-10-06-8
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001246 DEA: 041Q7214 EFIS: 0423000277
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC,CC,SOL-580,680,780-Var
Work Description: INSTALL FIBER OPTIC CABLE SYSTEM, RAMP METERING, AND WIDEN ROADWAY.
Location Description: ALAMEDA, CONTRA COSTA AND SOLANO COUNTIES AT VARIOUS LOCATIONS
Contractor Name: BAY CITIES PAVING & GRADING, INC.
Contractor Address: Unknown
Resident Engineer: Eddie Dike Structure Rep.: John parecadan
Sample Information
DIME Sample ID: 2026-10-06-8
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 - Threaded Bar
Sample Taken Date: 10/06/2026
Date that the sample was received by the laboratory/organization performing the testing: 10/09/2026
The quantity of what the sample constitutes: 90
A brief description of the sample: 32mm A722 Thread Bar and 1 1/4" Hex Nut
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Dywidag Systems International
Material Information
Production or Authorization Testing: Production Testing
Threaded Bar Specification: ASTM A722
Threaded Bar Grade: 150
Threaded Bar Type: Deformed
Rebar Size:
Nut Specification for Threaded Bar: A519
System Manufacturer: Dywidag Systems International
Epoxy Coating Color: NA
Threaded Bar Application: Threaded Bar
Coating Standards: Uncoated
Bar Heat Number(s): 58072125/03
Nut Heat Number(s): A250969
Bar Lot Number:
Nut Lot Number:
Coupler Heat Number(s):
Coupler Grade:
Test Results
