Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 211183 DEA: 062HT014 EFIS: 0613000318 COOP: HSR1446
QA Service Level: 2
DIST-CO-RTE-PM: 06-FRE-145,99(var),180,41-various
Work Description: Construct crossings in Madera and Fresno for High Speed Rail project: SR 145, SR 99, SR 180, SR 41.
Location Description: Madera and Fresno Counties; HST crossings at SR 145, SR 99, SR 180, SR 41.
Contractor Name: TutorPerini-Zachry-Parsons JV (TPZP-JV)
Contractor Address: Unknown
Resident Engineer: Fernando De Alba Structure Rep.: Nathan Quiroz
DIME Sample ID: 2025-12-03-15
TL Number from the TL Form:
Sample Submitted By Organization: California High Speed Rail Authority - Fresno
Sample Organization Contact: (559) 351-9518
Type of Sample: Quality Control
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 12/03/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/03/2025
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: 41-C0235
Structure name:
The fabricator/manufacturer/facility name: TPZP
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: N/A
DIST-CO-RTE:
Direction of Travel:
Post Mile: 15.00
Lanes to be Tested: Lane #1,Lane #2
Station:
