Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 995129 DEA: 07346204 EFIS: 0718000072
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA,VEN-2,23,101-Var
Work Description: UPGRADE AND INSTALL NEW TRANSPORTATION MANAGEMENT SYSTEM ELEMENTS.
Location Description: LOS ANGELES AND VENTURA COUNTIES AT VARIOUS LOCATIONS
Contractor Name: SELECT ELECTRIC, INC.
Contractor Address: Unknown
Resident Engineer: JOSEPH SOLAIMAN TEHRANI Structure Rep.: Aziz Maghsoudloo
DIME Sample ID: 2025-06-03-44
TL Number from the TL Form:
Sample Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Sample Organization Contact: (213) 817-0387
Type of Sample: Quality Assurance
Type of Material: Soil
Sample Taken Date: 06/03/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/03/2025
The quantity of what the sample constitutes: 72 yd2
A brief description of the sample: Aggregate Base
From where was the sample collected: Job Site
Laboratory sample identification: 15-1769
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: N/A
The fabricator's/manufacturer's product name for the sample: Subgrade
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: From various locations at subgrade
Where the material sample would have been placed if not sampled:
DIME Test ID: 2025-06-03-44-1
Test Method: CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
Data has not been verified.
DIME Test ID: 2025-06-03-44-2
Test Method: CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates
Submitted By Organization: CT D07 - Materials Field Laboratory, Unit 1953
Organization Address: 1940 South Workman Mill Road,
Organization City: Whittier
Organization State: CA
Organization Zipcode: 90601
Organization Email: chad.chotibhongs@dot.ca.gov
Organization Phone: (213) 407-6963
Data has not been verified.
