Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995446 DEA: 060X0604 EFIS: 0618000015
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE-198-0.5/19.5
Work Description: REMOVE AND REPLACE CULVERTS AND CURED IN PLACE PIPELINER.
Location Description: FRESNO COUNTY AT VARIOUS LOCATIONS FROM 1.3 MILES WEST OF WARTHAN CREEK OVERCROSSING TO 1.7 MILES WEST OF FIRESTONE AVENUE
Contractor Name: A. TEICHERT & SON, INC. DBA TEICHERT CONSTRUCTION
Contractor Address: 400 Sunrise Ave Ste 300,, Roseville, CA 95661
Resident Engineer: Tyler Street Structure Rep.: Unknown
DIME Sample ID: 2026-09-13-3
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: 09/13/2026
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 5 gallon bucket
A brief description of the sample: Native Soil
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert 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: SR-198, PM 12.33
Where the material sample would have been placed if not sampled:
