Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000900 DEA: 061G1804 EFIS: 0623000159
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER-5-Var
Work Description: FURNISH AND PLACE POLYESTER CONCRETE OVERLAY.
Location Description: KERN COUNTY AT VARIOUS LOCATIONS FROM GRAPEVINE CREEK BRIDGE TO KERN RIVER FLOOD CANAL BRIDGE
Contractor Name: TRUESDELL CORPORATION OF CALIFORNIA, INC.
Contractor Address: 1310 West 23rd Street, Tempe, AZ 85282
Resident Engineer: James Burford Structure Rep.: Vicente Sanchez
DIME Sample ID: 2025-06-26-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Fresno Construction Field Office
Sample Organization Contact: (559) 243-3828
Type of Sample: Acceptance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 06/26/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/26/2025
The quantity of what the sample constitutes: MULTIPLE LANES
A brief description of the sample: Skid Testing Request
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 50-0305
Structure name: STOCKDALE HWY OC
The fabricator/manufacturer/facility name: Truesdell Corp.
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 06-KER-05
Direction of Travel: West
Post Mile: 47.55
Lanes to be Tested: Lane #1
Station:
