Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001573 DEA: 060X2904 EFIS: 0618000050
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-33-13.9/16.7
Work Description: HMA (TYPE A), RDWY EXC, CL 2 AB, CURB RAMPS AND MOBILIZATION.
Location Description: FRESNO COUNTY IN AND NEAR COALINGA FROM ENTERPRISE PARKWAY TO LOS GATOS CREEK SOUTH CHANNEL BRIDGE
Contractor Name: Cal Valley Construction, Inc. (Chris Grimm)
Contractor Address: Unknown
Resident Engineer: Din Dadawalla Structure Rep.: Unknown
DIME Sample ID: 2026-05-19-45
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 05/19/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/19/2026
The quantity of what the sample constitutes: 1- 5 gal bucket
A brief description of the sample: Native Soil for Subgrade
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Cal Valley Construction
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: 115+19 - 109+19
Where the material sample would have been placed if not sampled:
DIME Test ID: 2026-05-19-45-1
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Submitted By Organization: CT D06 - Millbrook Field Laboratory
Organization Address: 1352 W. Olive Ave,
Organization City: Fresno
Organization State: CA
Organization Zipcode: 93728
Organization Email: tomas.silva@dot.ca.gov
Organization Phone: (559) 341-3953
Data has not been verified.
