Sample Record for 2025-06-28-10
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994962 DEA: 07357304 EFIS: 0719000062
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-6.6/13.1
Work Description: REPLACE CONCRETE SLABS AND MEDIAN BARRIER,
Location Description: LOS ANGELES COUNTY IN SANTA FE SPRINGS, DOWNEY AND CITY OF COMMERCE FROM 0.2 MILE SOUTH OF ROUTE 5/605 SEPARATION TO 0.1 MILE NORT
Contractor Name: PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC.
Contractor Address: 16351 Construction Circle West, Irvine, CA 92606
Resident Engineer: Martin Oregel Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2025-06-28-10
TL Number from the TL Form:
Sample Submitted By Organization: Alta Vista Solutions - Whittier
Sample Organization Contact: (510) 542-9827
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 06/28/2025
Date that the sample was received by the laboratory/organization performing the testing: 06/28/2025
The quantity of what the sample constitutes: 2000 SY
A brief description of the sample: Relative Compaction of Polymer Concrete
From where was the sample collected: Job Site
Laboratory sample identification: 25-2106
Structure unique identifier:
Structure name: B I-5 Garfield Ave Bridge Deck
The fabricator/manufacturer/facility name: N/A
Material Information
Source Identification (SMARA, name of Pit or Job Site): N/A
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Jobsite
Where the material sample would have been placed if not sampled: Jobsite
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2025-06-28-10-1 | CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages | 10/24/2025 | Not scheduled | SoCal Reports | Alta Vista Solutions - Whittier | | SoCal Reports |
| 2025-06-28-10-2 | CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates | 10/24/2025 | Not scheduled | SoCal Reports | Alta Vista Solutions - Whittier | | SoCal Reports |
148394148395
