Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 209511 DEA: 080Q7403 EFIS: 0800020456
QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-15.4/30.8
Work Description: Design Build project provides pavement rehabilitation (including ramps) on I-15 near Cajon Pass, CA.
Location Description: On I-15 from 0.4 mile north of Kenwood Avenue to 0.3 mile south of West Hesperia OH
Contractor Name: Coffman Specialties, Inc./Parsons Transportation Group, Inc
Contractor Address: 9685 VIA EXCELENCIA, SUITE 200, SAN DIEGO, CA 92126
Resident Engineer: Maged Youssef Structure Rep.: Unknown
DIME Sample ID: 2014-05-31-7006598
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Preliminary
Type of Material: Soil
Sample Taken Date: 05/31/2014
Date that the sample was received by the laboratory/organization performing the testing: 06/02/2014
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Soil
From where was the sample collected: Source
Laboratory sample identification: 4150B
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: PM 28.6 S/B I-15 Lane 4
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: PM 28.6 S/B I-15 Lane 4
Where the material sample would have been placed if not sampled:
DIME Test ID: 2014-05-31-7006598-2
Test Method: CTM 643-June 2007: Method for Determining Field and Laboratory Resistivity and pH Measurements for Soil and Water
Verified Date: 02/20/2015
Date Tested: 06/05/2014
Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Organization Address: 13970 Victoria Street,
Organization City: Fontana
Organization State: CA
Organization Zipcode: 92336
Organization Email: jose.guzman@dot.ca.gov
Organization Phone: (909) 829-3029
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
Oops.. looks like no test results have been submitted for the test.
