Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 209820 DEA: 04297634 EFIS: 0415000040 COOP: 042548
QA Service Level: 1
DIST-CO-RTE-PM: 04-ALA-84,680-17.9/21
Work Description: ROUTE 84 WIDENING (4-LANE EXPRESSWAY) FROM I-680 TO PIGEON PASS, INCLUDING INTERSECTION, DRAINAGE IMPROVEMENTS AND UTILITY RELOCATION.
Location Description: ALAMEDA COUNTY IN AND NEAR SUNOL, PLEASANTON, AND LIVERMORE ON ROUTE 84 FROM 0.1 MILE EAST OF ROUTE 680 TO 0.1 MILE SOUTH OF RUBY HILL DRIVE AND ON ROUTE 680 FROM 1.2 MILES SOUTH TO 1.8 MILES NORTH OF ROUTE 84
Contractor Name: Bay Cities Paving & Grading
Contractor Address: 1450 Civic Ct. BLDG B #400, Concord CA, 94520
Resident Engineer: Paramjit Pandher Structure Rep.: Ehab Wahed
DIME Sample ID: 2023-06-22-56
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3674 - Livermore
Sample Organization Contact: (510) 393-1493
Type of Sample: Quality Assurance
Type of Material: SMTL TM4 - Prestressing Strand
Sample Taken Date: 06/22/2023
Date that the sample was received by the laboratory/organization performing the testing: 07/24/2023
The quantity of what the sample constitutes: 8
A brief description of the sample: .6in Prestressing Strand
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 33-0352
Structure name: Scotts Corner NB
The fabricator/manufacturer/facility name: Sumiden Wire
Comments:
Reel/Coil/Pack Number(s):
Number of Coils:
Group Number:
Strand Diameter: .6 in
Grade: 270
Strand Specification: ASTM A 416
Heat Number(s): s0517722
Mfg. Lot Number(s): s85-AD128-23
Manufacturer(s): Sumiden Wire
