Sample Record for 2022-07-29-4
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212896 DEA: 04160304 EFIS: 0400000429
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-84-13.1/13.5
Work Description: NILES CANYON ALAMEDA CREEK BRIDGE REPLACEMENT
Location Description: IN FREMONT, AT ALAMEDA CREEK BRIDGE (BR 33-0036).
Contractor Name: VIKING CONSTRUCTION COMPANY, INC.
Contractor Address: 11315 Sunrise Gold Circle, Suite A, Rancho Cordova, CA 95742
Resident Engineer: Yannaing Tun (Abeer Dahhan) Structure Rep.: Oanh Bui
Sample Information
DIME Sample ID: 2022-07-29-4
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 Control
Type of Material: SMTL TM5 - Headed Bars
Sample Taken Date: 07/29/2022
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 108
A brief description of the sample: #7 HRC 120 T-heads
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Headed Reinforcement Corp, Fountain Valley, CA
Material Information
Production or Authorization Testing: Production Testing
Rebar Heat Number(s): 6031854
Head Manufacturer Lot Number(s): 1
Rebar Size: #7
Headed Bar Model Name: HRC120
Size of Head: Full Size - 9x
Head Connection Type:
Head Shape: Square
Rebar Manufacturer: CMC Fontana
Head Manufacturer: HRC Fountain Valley
Head Fabricator: HRC Fountain Valley
Material Standard Code: ASTM A706
Headed Bar Unique ID:
Test Results