Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000885 DEA: 051R2904 EFIS: 0523000262
QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101,217-Var
Work Description: BRIDGE DECK REPAIRS, POLYSTER CONCRETE OVERLAYS, AND HMA (TYPE A).
Location Description: SANTA BARBARA COUNTY AT VARIOUS LOCATIONS.
Contractor Name: TRUESDELL CORPORATION OF CALIFORNIA, INC.
Contractor Address: 1310 W. 23rd Street, TEMPE AZ 85282
Resident Engineer: Arturo Lao Structure Rep.: Unknown
DIME Sample ID: 2025-07-22-10
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3675 - Santa Barbara 1
Sample Organization Contact: (805) 441-6932
Type of Sample: Authorization
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 07/22/2025
Date that the sample was received by the laboratory/organization performing the testing: 07/22/2025
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: 51-0338
Structure name: Union Valley Parkway OC
The fabricator/manufacturer/facility name: Truesdell Corp.
Pavement Surface Type: Polyester Concrete
Type of Traffic Control Provided: Stationary Lane Closure
DIST-CO-RTE: 05-SB-101
Direction of Travel: East
Post Mile: 83.45
Lanes to be Tested: Shoulder,Lane #1
Station:
