Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 213918 DEA: 063HT014 EFIS: 0615000116
QA Service Level: 2
DIST-CO-RTE-PM: 06---
Work Description: (Alternative Delivery)
Location Description:
Contractor Name: Dragados Flatiron Joint Venture (DFJV)
Contractor Address: Unknown
Resident Engineer: Fernando De Alba Structure Rep.: Nathan Quiroz
DIME Sample ID: 2026-09-28-8
TL Number from the TL Form:
Sample Submitted By Organization: California High Speed Rail Authority - Selma
Sample Organization Contact: (559) 939-7402
Type of Sample: Quality Assurance
Type of Material: Roadway/Bridge Surface
Sample Taken Date: 09/28/2026
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: Multiple Lanes
A brief description of the sample: skid test
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 16-45C0156
Structure name: Houston Ave Overhead Bridge
The fabricator/manufacturer/facility name: Viking Redi Mix Hanford
Pavement Surface Type: PCC (Portland Cement Concrete)
Type of Traffic Control Provided: Behind K-Rail/Barrier
DIST-CO-RTE:
Direction of Travel:
Post Mile: 16.40
Lanes to be Tested:
Station:
