Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 994351 DEA: 07322004 EFIS: 0716000053
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-118-R11.0/R14.0
Work Description: CONSTRUCT STORMWATER TREATMENT DEVICES.
Location Description: THE CITY AND COUNTY OF LOS ANGELES FROM 0.1 MILE WEST OF ARLETA AVENUE UNDERCROSSING TO 0.1 MILE WEST OF ROUTE 118/210 SEPARATION
Contractor Name: G&G Electric Inc.
Contractor Address: 4229 Giles Ct., Riverside, CA 92503
Resident Engineer: Wassem Bakhet Structure Rep.: Unknown
DIME Sample ID: 2024-01-11-13
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: Retest
Type of Material: Soil
Sample Taken Date: 01/11/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/11/2024
The quantity of what the sample constitutes: 75 CY
A brief description of the sample: RW174 sta.658+17-659+02
From where was the sample collected: Job Site
Laboratory sample identification: 24-0140
Structure unique identifier:
Structure name: RW174 sta.658+17-659+02
The fabricator/manufacturer/facility name: Various locations at subgrade.
The fabricator's/manufacturer's product name for the sample: Structural Backfill
The fabricator/manufacturer designation for the sample: from various locations at SBF
A detailed description of where the material sample was collected: Jobsite
Where the material sample would have been placed if not sampled: Jobsite
DIME Test ID: 2024-01-11-13-1
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: 2024-01-11-13-2
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.
