Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1001825 DEA: 040J5404 EFIS: 0414000011
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-24-R5.8/R6.2
Work Description: Caldecott Tunnel Bores 1, 2, & 3 Rehab
Location Description:
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
DIME Sample ID: 2026-10-06-34
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - Vallejo Field Laboratory
Sample Organization Contact: 9166394315
Type of Sample: Informational
Type of Material: Concrete Core
Sample Taken Date: 10/06/2026
Date that the sample was received by the laboratory/organization performing the testing: 10/05/2026
The quantity of what the sample constitutes: Bore-1 Critical section1
A brief description of the sample: Bore-1 Critical section1
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Unkown
Detail description: Caldecott tunnel Bore 1
Structure names: Caldecott tunnel
Type of material: Concrete core
