Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 209695 DEA: 08347704 EFIS: 0800000616
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-SR-58-0/12.9
Work Description: (Alternative Delivery) The CMGC project will upgrade SR 58 from 2- to 4-lanes in San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Location Description: SR-58 / 395 Kramer Junction project. In San Bernardino County from the Kern County line to 7.5 miles east of US-395.
Contractor Name: KIEWIT INFRASTRUCTURE WEST CO.
Contractor Address: 2215 E 1ST STREET, VANCOUVER, WA 98661
Resident Engineer: Shaine Shahidi Structure Rep.: Osama Abdalla
DIME Sample ID: 2018-06-14-1
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: Acceptance
Type of Material: SMTL TM4 - Prestressing Strand
Sample Taken Date: 06/14/2018
Date that the sample was received by the laboratory/organization performing the testing: 06/15/2018
The quantity of what the sample constitutes: 2
A brief description of the sample: .6 inch dia. PC Strand
From where was the sample collected: Fabricator
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: DSI
Comments: Foreign Steel Temporary
Reel/Coil/Pack Number(s): B309AH0094 and B308BH0344
Number of Coils: 2
Group Number:
Strand Diameter: .6 in
Grade: 270
Strand Specification: ASTM A 416
Heat Number(s): 149800 and 106045
Mfg. Lot Number(s): B309AH0094 and B308BH0344
Manufacturer(s): Southern PC Steel