Sample Record for 2025-11-13-32
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000510 DEA: 060W79U4 EFIS: 0622000189
QA Service Level: 1
DIST-CO-RTE-PM: 06-KER,TUL-99-56.4/57.6,0.0/13.5
Work Description: RDWY EXC, HMA, AGGREGATE BASE, CRCP, SIGN STR, AND STR EXC.
Location Description: KERN AND TULARE COUNTIES IN AND NEAR DELANO FROM 0.2 MILE SOUTH OF CECIL AVENUE OVERCROSSING TO 0.7 MILE NORTH OF AVENUE 100 OVERCROSSING
Contractor Name: SECURITY PAVING COMPANY, INC.
Contractor Address: 2915 Fairhaven Drive, Bakersfield, CA 93308
Resident Engineer: Jake Garcia Structure Rep.: Raman Guraya
Sample Information
DIME Sample ID: 2025-11-13-32
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Quality Assurance
Type of Material: Concrete
Sample Taken Date: 11/13/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/17/2025
The quantity of what the sample constitutes: 66
A brief description of the sample: Soundwall 2 pile cap
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Calportland Tulare
Material Information
The concrete mix design number: 163457
The truck number from where the sample was collected:
The batch plant ticket number from where the sample was collected: 265983
Concrete batch plant:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: SW2 near station 454+72 to 458+20
Where the material sample would have been placed if not sampled:
From Lot No.:
Bag Lot No.:
Test Results
